PMID- 29241238
OWN - NLM
STAT- MEDLINE
DCOM- 20180201
LR  - 20200225
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 47
IP  - 4
DP  - 2017 Dec
TI  - Hyperbaric oxygen-associated seizure leading to stroke.
PG  - 260-262
LID - 10.28920/dhm47.4.260-262 [doi]
AB  - Oxygen toxicity seizures are a well-known complication of hyperbaric oxygen 
      treatment (HBOT). Until now, there have not been any reported cases of an acute 
      ischaemic event (stroke) as the result of a HBOT-associated oxygen toxicity 
      seizure. We report an event in which a seizure and stroke occurred together and 
      consider that the stroke may have been caused by seizure-induced demand 
      ischaemia. This challenges the generally held view that oxygen toxicity seizures 
      in the clinical hyperbaric setting are benign. A discussion of the literature on 
      the subject of seizure-induced brain injury is included. Risk factors for 
      cerebrovascular disease should be taken into consideration in determining 
      treatment pressures for HBOT, as reducing pressure reduces seizure risk.
CI  - Copyright: This article is the copyright of the authors who grant Diving and 
      Hyperbaric Medicine a non-exclusive licence to publish the article in printed and 
      other forms.
FAU - Warchol, Jordan M
AU  - Warchol JM
AD  - Department of Emergency Medicine, 981150 NMC, University of Nebraska Medical 
      Centre, Omaha, NE 68198-1150, USA, jeffrey.cooper@unmc.edu.
FAU - Cooper, Jeffrey S
AU  - Cooper JS
AD  - Department of Emergency Medicine, University of Nebraska Medical Centre, Omaha, 
      Nebraska, USA.
FAU - Diesing, Thomas S
AU  - Diesing TS
AD  - Department of Neurology, University of Nebraska Medical Centre, Omaha.
LA  - eng
PT  - Case Reports
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
SB  - IM
MH  - Aged, 80 and over
MH  - Humans
MH  - Hyperbaric Oxygenation/*adverse effects
MH  - Leg Ulcer/therapy
MH  - Male
MH  - Neurologic Examination
MH  - Risk Factors
MH  - Seizures/*etiology
MH  - Stroke/*etiology
PMC - PMC6706335
OTO - NOTNLM
OT  - Case reports
OT  - Central nervous system
OT  - Hyperoxia
OT  - Toxicity
COIS- Conflict of interest and funding: nil
EDAT- 2017/12/15 06:00
MHDA- 2018/02/02 06:00
PMCR- 2018/12/31
CRDT- 2017/12/15 06:00
PHST- 2017/09/07 00:00 [received]
PHST- 2017/09/14 00:00 [accepted]
PHST- 2017/12/15 06:00 [entrez]
PHST- 2017/12/15 06:00 [pubmed]
PHST- 2018/02/02 06:00 [medline]
PHST- 2018/12/31 00:00 [pmc-release]
AID - 10.28920/dhm47.4.260-262 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2017 Dec;47(4):260-262. doi: 10.28920/dhm47.4.260-262.