Paradoxical herniation associated with hyperbaric oxygen therapy after decompressive craniectomy: A case report.
World J Clin Cases
; 12(10): 1793-1798, 2024 Apr 06.
Article
em En
| MEDLINE
| ID: mdl-38660069
ABSTRACT
BACKGROUND:
Whether hyperbaric oxygen therapy (HBOT) can cause paradoxical herniation is still unclear. CASESUMMARY:
A 65-year-old patient who was comatose due to brain trauma underwent decompressive craniotomy and gradually regained consciousness after surgery. HBOT was administered 22 d after surgery due to speech impairment. Paradoxical herniation appeared on the second day after treatment, and the patient's condition worsened after receiving mannitol treatment at the rehabilitation hospital. After timely skull repair, the paradoxical herniation was resolved, and the patient regained consciousness and had a good recovery as observed at the follow-up visit.CONCLUSION:
Paradoxical herniation is rare and may be caused by HBOT. However, the underlying mechanism is unknown, and the understanding of this phenomenon is insufficient. The use of mannitol may worsen this condition. Timely skull repair can treat paradoxical herniation and prevent serious complications.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
World J Clin Cases
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
China