Paradoxical herniation associated with hyperbaric oxygen therapy after decompressive craniectomy: A case report

被引：1

作者：

Ye, Zhong-Xing ^{[1
]}

Fu, Xin-Xin ^{[1
]}

Wu, Yang-Zong ^{[2
]}

Lin, Ling ^{[1
]}

Xie, Liang-Qi ^{[1
]}

Hu, Yu-Ling ^{[1
]}

Zhou, Yi ^{[1
]}

You, Zhu-Gui ^{[3
]}

Lin, Hai ^{[1
]}

机构：

[1] Fujian Univ Tradit Chinese Med, Peoples Hosp Fujian Prov 2, Affiliated Hosp 2, Dept Neurosurg, 282 Wusi Rd, Fuzhou 350001, Fujian, Peoples R China

[2] Second Hosp Longyan, Dept Neurosurg, Longyan 364000, Fujian, Peoples R China

[3] Zhangping City Hosp, Dept Neurosurg, Longyan 364400, Fujian, Peoples R China

来源：

WORLD JOURNAL OF CLINICAL CASES | 2024年 / 12卷 / 10期

关键词：

Decompressive craniectomy; Hyperbaric oxygen therapy; Mannitol; Paradoxical herniation; Case report; TRANSTENTORIAL HERNIATION; LUMBAR PUNCTURE; PRESSURE; BRAIN;

D O I：

10.12998/wjcc.v12.i10.1793

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

BACKGROUND Whether hyperbaric oxygen therapy (HBOT) can cause paradoxical herniation is still unclear. CASE SUMMARY 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.

引用

页数：7

共 15 条

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