PMID- 34897603
OWN - NLM
STAT- MEDLINE
DCOM- 20211214
LR  - 20221221
IS  - 1833-3516 (Print)
IS  - 2209-1491 (Electronic)
IS  - 1833-3516 (Linking)
VI  - 51
IP  - 4
DP  - 2021 Dec 20
TI  - Adjuvant hyperbaric oxygen treatment of acute brain herniation after 
      microsurgical clipping of a recurring cerebral aneurysm: a case report.
PG  - 373-375
LID - 10.28920/dhm51.4.373-375 [doi]
AB  - INTRODUCTION: Acute brain herniation is a life-threatening neurological condition 
      that occasionally develops due to severe complications following cerebral 
      aneurysm clipping. Strategies for managing acute brain herniation have not 
      improved substantially during the past decade. Hyperbaric oxygen treatment (HBOT) 
      may alleviate harmful effects of cerebral hypoxia, which is one of the most 
      important pathophysiological features of acute brain herniation and, therefore, 
      may be useful as an adjuvant therapy for acute brain herniation. A case treated 
      with adjuvant HBOT is reported. CASE REPORT: A 60-year-old asymptomatic man 
      presented with a recurring left middle cerebral artery bifurcation aneurysm with 
      previous stent-assisted embolisation. After craniotomy for surgical clipping of 
      the aneurysm, disturbance of consciousness and right hemiplegia occurred. 
      Computed tomography (CT) images suggested simultaneous cerebral ischaemia and 
      intracranial haemorrhage. Pharmacologic treatment resulted in no improvement. A 
      CT scan acquired five days after surgery showed uncal and falcine herniation. 
      HBOT was administered five days after surgery, and the patient's condition 
      dramatically improved. He became conscious, and his hemiplegia improved following 
      seven sessions of HBOT. Simultaneously, CT images showed regression of the acute 
      brain herniation. CONCLUSIONS: The patient had recovered completely at one year 
      post-treatment. HBOT may be effective in the treatment of acute brain herniation 
      following cerebral aneurysm clipping.
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 electronic 
      and other forms.
FAU - Liu, Yaling
AU  - Liu Y
AD  - Department of Hyperbaric Oxygenation, Beijing Tiantan Hospital, Capital Medical 
      University, Beijing, China.
AD  - Corresponding author: Dr Yaling Liu, Department of Hyperbaric Oxygenation, 
      Beijing Tiantan Hospital, Capital Medical University, No.119 Nansihuanxilu Road, 
      Fengtai District, Beijing, China, 100070, liuylmerry@sohu.com.
LA  - eng
PT  - Case Reports
PL  - Australia
TA  - Diving Hyperb Med
JT  - Diving and hyperbaric medicine
JID - 101282742
RN  - S88TT14065 (Oxygen)
SB  - IM
MH  - Brain
MH  - Humans
MH  - *Hyperbaric Oxygenation
MH  - *Intracranial Aneurysm/diagnostic imaging/surgery
MH  - Male
MH  - Middle Aged
MH  - Oxygen
MH  - Oxygen Inhalation Therapy
PMC - PMC8920903
OTO - NOTNLM
OT  - Brain injury
OT  - Cerebral ischaemia
OT  - Hyperbaric medicine
OT  - Intracranial haemorrhage
OT  - Surgery
COIS- Conflict of interest and funding: nil
EDAT- 2021/12/14 06:00
MHDA- 2021/12/15 06:00
PMCR- 2022/12/20
CRDT- 2021/12/13 13:32
PHST- 2021/02/22 00:00 [received]
PHST- 2021/05/16 00:00 [accepted]
PHST- 2021/12/13 13:32 [entrez]
PHST- 2021/12/14 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2022/12/20 00:00 [pmc-release]
AID - 10.28920/dhm51.4.373-375 [doi]
PST - ppublish
SO  - Diving Hyperb Med. 2021 Dec 20;51(4):373-375. doi: 10.28920/dhm51.4.373-375.