PMID- 28744368 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 2045-9912 (Print) IS - 2045-9912 (Electronic) IS - 2045-9912 (Linking) VI - 7 IP - 2 DP - 2017 Apr-Jun TI - Subacute normobaric oxygen and hyperbaric oxygen therapy in drowning, reversal of brain volume loss: a case report. PG - 144-149 LID - 10.4103/2045-9912.208521 [doi] AB - A 2-year-old girl experienced cardiac arrest after cold water drowning. Magnetic resonance imaging (MRI) showed deep gray matter injury on day 4 and cerebral atrophy with gray and white matter loss on day 32. Patient had no speech, gait, or responsiveness to commands on day 48 at hospital discharge. She received normobaric 100% oxygen treatment (2 L/minute for 45 minutes by nasal cannula, twice/day) since day 56 and then hyperbaric oxygen treatment (HBOT) at 1.3 atmosphere absolute (131.7 kPa) air/45 minutes, 5 days/week for 40 sessions since day 79; visually apparent and/or physical examination-documented neurological improvement occurred upon initiating each therapy. After HBOT, the patient had normal speech and cognition, assisted gait, residual fine motor and temperament deficits. MRI at 5 months after injury and 27 days after HBOT showed near-normalization of ventricles and reversal of atrophy. Subacute normobaric oxygen and HBOT were able to restore drowning-induced cortical gray matter and white matter loss, as documented by sequential MRI, and simultaneous neurological function, as documented by video and physical examinations. FAU - Harch, Paul G AU - Harch PG AUID- ORCID: 0000-0001-7329-0078 AD - Department of Medicine, Section of Emergency Medicine, University Medical Center, Louisiana State University School of Medicine, New Orleans, LA, USA. FAU - Fogarty, Edward F AU - Fogarty EF AD - Department of Radiology, University of North Dakota School of Medicine, Bismarck, ND, USA. LA - eng PT - Case Reports DEP - 20170630 PL - Australia TA - Med Gas Res JT - Medical gas research JID - 101564536 PMC - PMC5510296 OTO - NOTNLM OT - brain volume OT - drowning OT - gray matter OT - hyperbaric oxygen OT - magnetic resonance imaging OT - normobaric oxygen OT - white matter COIS- Conflicts of interest PGH is co-owner of Harch Hyperbarics, Inc., a corporation that performs hyperbaric medicine consulting and expert witness testimony/opinions. He is also on the board of directors of the International Hyperbaric Medical Association (IHMA), a non-profit corporation. He derives no income from the IHMA. EFF is president of the International Hyperbaric Medical Foundation (IHMF), a non-profit corporation that promotes education, research, and teaching in hyperbaric medicine. He derives no income from the IHMF. EDAT- 2017/07/27 06:00 MHDA- 2017/07/27 06:01 PMCR- 2017/06/30 CRDT- 2017/07/27 06:00 PHST- 2017/07/27 06:00 [entrez] PHST- 2017/07/27 06:00 [pubmed] PHST- 2017/07/27 06:01 [medline] PHST- 2017/06/30 00:00 [pmc-release] AID - MGR-7-144 [pii] AID - 10.4103/2045-9912.208521 [doi] PST - epublish SO - Med Gas Res. 2017 Jun 30;7(2):144-149. doi: 10.4103/2045-9912.208521. eCollection 2017 Apr-Jun.