PMID- 34931544 OWN - NLM STAT- MEDLINE DCOM- 20221011 LR - 20221011 IS - 2169-5202 (Electronic) IS - 1550-0594 (Linking) VI - 53 IP - 6 DP - 2022 Nov TI - Treating Severe Traumatic Brain Injury: Combining Neurofeedback and Hyperbaric Oxygen Therapy in a Single Case Study. PG - 519-531 LID - 10.1177/15500594211068255 [doi] AB - In 2014, a 26-year-old male was involved in a motor vehicle accident resulting in a severe traumatic brain injury (TBI). The patient sustained a closed-head left temporal injury with coup contrecoup impact to the frontal region. The patient underwent a left side craniotomy and was comatose for 26 days. After gaining consciousness, he was discharged to a brain injury treatment center that worked with physical, speech, and occupational issues. He was discharged after eight months with significant speech, ambulation, spasticity, and cognitive issues as well as the onset of posttraumatic epilepsy. His parents sought hyperbaric oxygen treatment (HBOT) from a doctor in Louisiana. After 165 dives, the HBOT doctor recommended an addition of neurofeedback (NFB) therapy. In March 2019 the patient started NFB therapy intermixed with HBOT. The combination of NFB and HBOT improved plasticity and functionality in the areas of injury and the correlated symptoms including short-term memory, personality, language, and executive function, as well as significantly reducing the incidence of seizures. Severe brain injuries often leave lasting deficits with little hope for major recovery and there is a need for further research into long-term, effective neurological treatments for severe brain injuries. These results suggest that HBOT combined with NFB may be a viable option in treating severe brain injuries and should be investigated. FAU - White, Rebecca D AU - White RD AUID- ORCID: 0000-0002-3300-7095 AD - Houston Neuroscience Brain Center, Houston, TX, USA. FAU - Turner, Robert P AU - Turner RP AUID- ORCID: 0000-0001-9839-0649 AD - Network Neurology Health, Charleston, SC, USA. FAU - Arnold, Noah AU - Arnold N AD - Houston Neuroscience Brain Center, Houston, TX, USA. FAU - Bernica, Annie AU - Bernica A AD - Houston Neuroscience Brain Center, Houston, TX, USA. FAU - Lewis, Brigitte N AU - Lewis BN AD - Houston Neuroscience Brain Center, Houston, TX, USA. FAU - Swatzyna, Ronald J AU - Swatzyna RJ AD - Houston Neuroscience Brain Center, Houston, TX, USA. LA - eng PT - Case Reports PT - Journal Article DEP - 20211221 PL - United States TA - Clin EEG Neurosci JT - Clinical EEG and neuroscience JID - 101213033 SB - IM MH - Adult MH - *Brain Injuries MH - *Brain Injuries, Traumatic/therapy MH - Electroencephalography MH - Humans MH - *Hyperbaric Oxygenation/methods MH - Male MH - *Neurofeedback OTO - NOTNLM OT - EEG OT - HBOT OT - TBI OT - hyperbaric oxygen therapy OT - neurofeedback OT - posttraumatic epilepsy EDAT- 2021/12/22 06:00 MHDA- 2022/10/12 06:00 CRDT- 2021/12/21 08:38 PHST- 2021/12/22 06:00 [pubmed] PHST- 2022/10/12 06:00 [medline] PHST- 2021/12/21 08:38 [entrez] AID - 10.1177/15500594211068255 [doi] PST - ppublish SO - Clin EEG Neurosci. 2022 Nov;53(6):519-531. doi: 10.1177/15500594211068255. Epub 2021 Dec 21.