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Identification of hypometabolic areas in the brain is using brain imaging and Hyperbaric Oxygen.
Clin Nucl Med 1992 Jun: 17(6): 477-81 Related Articles
Near Drown Patients
Neubauer RA, Gottlieb SF, Miale A Jr.
Ocean Hyperbaric Center, Lauderdale-by-the -Sea, Florida 33308
Current neurologic assessments consider idling neurons and ischemic penumbras
to be metabolically lethargic and electrically nonfunctional or nonviable.
Diagnosis, prognosis, and therapeutics of central nervous system dysfunction
require differentiation between viable and nonviable neurons. It is necessary to
develop and document efficacious and safe technique for reactivating idling
neurons.
The author presents a case study of a near drowning 12 years earlier.
Using SPECT imaging in conjunction with Hyperbaric Oxygen Therapy (HBOT) the
data supports the hypothesis that idling neurons and ischemic penumbras, when
given sufficient oxygen identified areas of cortical hypermetabolism. Delayed
imaging after HBOT (1 hour, 1.5 atm abs) suggested viable but metabolically
lethargic neurons. After HBOT (80 one - hour treatments, 1.5 atm abs), marked
improvements in cognitive and motor functioning were demonstrated. are capable of
reactivation. Thus, changes in tracer distribution after a single exposure to HBOT may be a good prognostic indicator of viable neurons. HBOT may be viable
not only in recovery from anoxic encephalopathy but also from other traumatic
and non-traumatic dysfunctions of the central nervous system, including stroke. HBOT in conjunction with physical and rehabilitative therapy may help reactivated idling
neurons to remain permanently active.
PMID: 1617842, UI: 92315503
Reprinted with Permission
Brain Disorders/Neurological Index
