Paul G. Harch, Keith Van Meter, Paul K Staab, Sheldon F. Gottlieb, Jo Ellen Smith Medical Center, New Orleans, LA.
There is no accepted treatment for neurological residual of carbon monoxide poisoning; this report documents the effect of Hyperbaric Oxygen Therapy (HBOT) for established neurological residual.
5 adult males (29-51-yrs old) presented 6-10 months after CO poisoning. 4 were group poisoned (1 episode), the 5th was poisoned dozens of times over 3.5 years. All had cognitive, neurological, and constitutional symptoms with primarily balance, gait, and coordination abnormalities on physical exam. SPECT brain imaging was performed on an ADAC dual-head or Picker Prism 3000 triple head scanner pre and post 1 HBOT and at the end of an HBOT course at 1.5 ATA/60-90 minutes/q.d.-b.i.d. (38, 31, 33, 34, 80 treatments). Baseline MRI's and neuropsychological tests (pre and post HBO course--4/5 patients) were obtained.
1995 UHMS Gulf Coast Chapter Annual Meeting, New Orleans, LA Mar 30 - Apr 2, 1995