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Undersea Biomedical Research

52.

SPECT BRAIN IMAGING IN THE DIAGNOSIS AND TREATMENT OF TYPE II DCS. Paul G. Harch, Sheldon F. Gottlieb, Keith Van mEter, Paul K. Staab. Jo Ellen Smith Memorial Baromedical Research Laboratory, New Orleans, LA, 70131, and Emergency Physician's Center, Marrero, LA, 70072.

Undersea & Hyperbaric Medicine

72.

DELAYED TREATMENT OF TYPE II DCS: THE IMPORTANCE OF LOW PRESSURE HBOT AND HMPAO SPECT BRAIN IMAGING IN ITS DIAGNOSIS AND TREATMENT. PG Harch, KW Van Meter, SP Gootlieb, P Staab. Jo Ellen Smith Hyperbaric Medicine Unit (JESHMU), New Orleans, LA 70131 and University of South Alabama, Mobile, AL.

BACKGROUND: We describe a prospective case study of a sport SCUBA diver with Type II DCS (brain) in which HMPAO SPECT brain imaging with oxygen intervention was used in the identification of potentially recoverable brain tissue with subsequently responded to low pressure HBOT as demonstrated by improvement in neurological functions and SPECT brain images.

TBI / PTSD Treatment with Hyperbaric Oxygen Therapy for Wounded Warriors with Traumatic Brain Injury and/or Post Traumatic Stress Disorder at LSUHSC

New Orleans, LA – Dr. Paul Harch, LSUHSC Clinical Associate Professor of Emergency Medicine, is the principal investigator of a pilot study to determine the effectiveness of one or two courses of hyperbaric oxygen therapy in treating chronic traumatic brain injury (TBI) and TBI with post traumatic stress disorder (PTSD). The study grew out of previous experience in treating TBI with hyperbaric oxygen therapy with improvement in symptoms and function.

Thirty participants will be recruited – half will have traumatic brain injury and half will have both traumatic brain injury and post traumatic stress disorder. The participants will undergo oral, written, and computers tests, as well as an MRI (if the participant has not had one since injury) and SPECT brain imaging. Participants will have 40 hyperbaric oxygen therapy treatments and can request up to 40 more if not improved to his/her satisfaction.

Certain conditions preclude participation including pregnancy and increased risk for rare HBOT complications.

A quote from Dr. William W Orrison Jr

A quote from Dr. William W Orrison Jr

 

Sirs and Ma'ams-

Many of you had the good fortune of seeing Dr. Orrison's neuro-radiology presentation on December 5th at the "HBOT in TBI" Consensus Conference. Others have seen Dr. Harch's SPECT brain images of patients he has treated over the past 18 years. The quote below will be of interest. At Dr. Orrison's presentation, he showed 3 patients' whole brain CT scans, from his practice, who had been treated with HBOT 1.5 by three different physicians. All patients had major recovery of brain function.

Here is his quote regarding Dr. Harch's SPECT brain images:

"Dr. Harch's use of SPECT brain imaging to examine the changes in the brain before and after hyperbaric oxygen therapy is scientifically accurate and valid. Multi-detector SPECT imaging is one of the only neuroimaging methods with sufficient utility to allow this type of longitudinal evaluation.

The improvement in brain perfusion demonstrated by Dr. Harch pre and post HBOT is impressive and objective evidence of improved cerebral blood flow in these patients. This is the same type of change that we have recently demonstrated using the new method of whole brain CT. In addition, the clinical observations and neuro-psych testing done by numerous physicians at different locations further verifies Dr. Harch's results and correlates with the objective findings observed on the SPECT images."

-William W Orrison Jr, MD-
 

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