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

作　　者：Zhong-Xing Ye Xin-Xin Fu Yang-Zong Wu Ling Lin Liang-Qi Xie Yu-Ling Hu Yi Zhou Zhu-Gui You Hai Lin 

机构地区：[1]Department of Neurosurgery,The Second People's Hospital of Fujian Province(The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine),Fuzhou 350001,Fujian Province,China [2]Department of Neurosurgery,The Second Hospital of Longyan,Longyan 364000,Fujian Province,China [3]Department of Neurosurgery,Zhangping City Hospital,Longyan 364400,Fujian Province,China

出　　处：《World Journal of Clinical Cases》2024年第10期1793-1798,共6页世界临床病例杂志

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.

关 键 词：Decompressive craniectomy Hyperbaric oxygen therapy MANNITOL Paradoxical herniation Case report 

分 类 号：R651.1[医药卫生—外科学]