[Successful treatment with hyperbaric oxygen following severe cerebro-arterial gas embolism].
We report on a patient suffering from a severe cerebral arterial gas embolism associated with decompression from a simulated high pressure chamber dive. Treatment with hyperbaric oxygen (HBO) commenced immediately after the accident and was continued subsequently for 8 weeks with a total of 49 HBO-sessions. Despite initial transitory amaurosis and flaccid tetraplegia lasting for two weeks the patient made a near complete recovery except for circumscript numbness and paraesthesia confined to the left tibia and palm. This case underscores the need to consider patients with cerebral arterial gas embolism for HBO treatment and the potential value of a subsequent long-term HBO therapy.
Radermacher
P
P
Zentrum für Anästhesiologie, Heinrich-Heine-Universität, Düsseldorf.
Warninghoff
V
V
Nürnberg
J H
JH
Flechsig
F
F
van Laak
U
U
D000328:Adult; D002536:Cerebral Arteries; D004242:Diving / Q000009:adverse effects*; D004618:Embolism, Air / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D013997:Time Factors
Erfolgreiche Langzeitbehandlung mit hyperbarem Sauerstoff nach schwerer zerebroarterieller Gasembolie.