Seizure during hyperbaric oxygen therapy for carbon monoxide toxicity: a case series and five-year experience.
BACKGROUND: Hyperbaric 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 REPORT: We present two cases of patients without known risk factors who experienced seizures associated with HBO therapy during treatment for CO toxicity.
CONCLUSION: This 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.
Published In/Presented At
Sanders RW, Katz KD, Suyama J, Akhtar J, O'Toole KS, Corll D, Ladenburger RN. Seizure during hyperbaric oxygen therapy for carbon monoxide toxicity: a case series and five-year experience. J Emerg Med. 2012 Apr;42(4):e69-72. doi: 10.1016/j.jemermed.2008.12.017. Epub 2009 Apr 15.
Medicine and Health Sciences
Department of Emergency Medicine, Department of Emergency Medicine Faculty, Toxicology Division