2000 Volume 9 Issue 11 Pages 758-762
We report successful hyperbaric oxygen therapy (HBT) in a patient with central pontine myelinolysis (CPM). The patient was a 51-year-old woman with a history of alcoholism. She had dysarthria, dysphasia, hyperactive deep tendon reflexes and poor tandem gait. A T2-weighted magnetic resonance image (MRI) revealed an oval hyperintense lesion in the pons. Ten days of HBT completely dissolved her symptoms. One year after the HBT, the lesion markedly decreased in size on MRI. Resolution of the brain edema by HBT may explain the improvement of the symptoms and decreased size of the lesion on MRI.
