Functional MRI (fMRI) Evaluation of Hyperbaric Oxygen Therapy (HBOT) Efficacy in Chronic Cerebral Stroke: A Small Retrospective Consecutive Case Series

Functional Magnetic Resonance Imaging (fMRI) evaluation of HyberBaric Oxygen Therapy (HBOT) effects on chronic cerebral stroke Patients (Pts). Our aim was to evaluate with fMRI, in a 3 Tesla system, the functional effects of HBOT on the Central Nervous System (CNS) in four Pts with established ischa...

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Veröffentlicht in:International journal of environmental research and public health 2020-12, Vol.18 (1), p.190
Hauptverfasser: Cevolani, Daniela, Di Donato, Ferruccio, Santarella, Luigi, Bertossi, Simone, Cellerini, Martino
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container_title International journal of environmental research and public health
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creator Cevolani, Daniela
Di Donato, Ferruccio
Santarella, Luigi
Bertossi, Simone
Cellerini, Martino
description Functional Magnetic Resonance Imaging (fMRI) evaluation of HyberBaric Oxygen Therapy (HBOT) effects on chronic cerebral stroke Patients (Pts). Our aim was to evaluate with fMRI, in a 3 Tesla system, the functional effects of HBOT on the Central Nervous System (CNS) in four Pts with established ischaemic and haemorrhagic cerebral strokes (2 Pts each). To our knowledge, no author used this Magnetic Resonance (MR) technique for this purpose, till now. All four Pts underwent a fMRI study before and after 40 HBOT sessions, with a time window of a few days. They carried out two language (text listening, silent word-verb generation) and two motor (hand and foot movements) tasks (30 s On-Off block paradigms). After HBOT, all Pts reported a clinical improvement, mostly concerning language fluency and motor paresis. fMRI analysis demonstrated an increase in both the extent and the statistical significance of most of the examined eloquent areas. These changes were consistent with the clinical improvement in all Pts, suggesting a possible role of fMRI in revealing neuronal functional correlates of neuronal plasticity and HBOT-related neoangiogenesis. Although only four Pts were examined, fMRI proved to be a sensitive, non-invasive and reliable modality for monitoring neuronal functional changes before and after HBOT.
doi_str_mv 10.3390/ijerph18010190
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These changes were consistent with the clinical improvement in all Pts, suggesting a possible role of fMRI in revealing neuronal functional correlates of neuronal plasticity and HBOT-related neoangiogenesis. Although only four Pts were examined, fMRI proved to be a sensitive, non-invasive and reliable modality for monitoring neuronal functional changes before and after HBOT.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>33383925</pmid><doi>10.3390/ijerph18010190</doi><orcidid>https://orcid.org/0000-0003-4385-5386</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aphasia
Brain Ischemia - diagnostic imaging
Brain Ischemia - therapy
Brief Report
Central nervous system
Consent
Dysarthria
Evaluation
Functional magnetic resonance imaging
Functional plasticity
Humans
Hyperbaric oxygen therapy
Hyperbaric Oxygenation
Language
Magnetic Resonance Imaging
Male
Middle Aged
Neuroplasticity
Outpatient care facilities
Oxygen therapy
Paresis
Patients
Resonance
Retrospective Studies
Software
Speech therapy
Stroke
Stroke - diagnostic imaging
Stroke - therapy
title Functional MRI (fMRI) Evaluation of Hyperbaric Oxygen Therapy (HBOT) Efficacy in Chronic Cerebral Stroke: A Small Retrospective Consecutive Case Series
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