• J Emerg Med · Apr 2012

    Review Case Reports

    Seizure during hyperbaric oxygen therapy for carbon monoxide toxicity: a case series and five-year experience.

    • Joe Suyama, Robert W Sanders, Jawaid Akhtar, Kevin S O'Toole, Diann Corll, and Regan N Ladenburger.
    • Department of Emergency Medicine, University of Pittsburgh Medical Center, Presbyterian Hospital, Pittsburgh, PA, USA.
    • J Emerg Med. 2012 Apr 1;42(4):e69-72.

    BackgroundHyperbaric oxygen (HBO) therapy is recommended to reduce the delayed neurologic sequelae resulting from carbon monoxide (CO) toxicity. Although HBO is generally well tolerated, there exists a risk of seizure in all patients that may be increased in patients with predisposing factors including: fever, hypothermia, prior seizure, or brain injury.Case ReportWe present two cases of patients without known risk factors who experienced seizures associated with HBO therapy during treatment for CO toxicity.ConclusionThis facility's 5-year experience and a review of the germane literature are also presented to elucidate the risk factors and incidence of seizures in patients treated with HBO for CO toxicity.Copyright © 2012 Elsevier Inc. All rights reserved.

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