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[New approaches in neurosurgery and hyperbaric medicine--the importance of preventive and industrial medicine].

Abstract
Neurosurgical patients have been mainly treated by surgical procedures over the past decades. In addition, hyperbaric oxygen (HBO) therapy in neurosurgery has been used in patients with ischemic cerebrovascular diseases, head trauma, spinal damage, postoperative brain edema and others. However, the main therapeutic methods for neurosurgical diseases have changed dramatically due to developments in radiological techniques, such as radiosurgery and intravascular surgery. With changes in therapeutic methods, HBO therapy may become a very important treatment option for neurosurgical patients. For example, HBO therapy combined with radiotherapy (UOEH regimen) and anticoagulant therapy appear to be very effective in the treatments of malignant brain tumors and ischemic cerebrovascular diseases, respectively. On the other hand, medical examinations under hyper- and hypobaric environments have not yet been fully studied in the central nervous system compared to those in the cardiopulmonary systems. Moreover, the mechanisms of cerebral lesions in decompression sickness and acute mountain sickness remain unclear. Clinical neurologic approaches are very important in these fields. Hence, clinicians and researchers skilled in both neurosurgery and hyperbaric medicine will be required for advanced treatment and preventive and industrial medicine.
AuthorsK Kohshi, M Munaka, H Abe, T Tosaki
JournalJournal of UOEH (J UOEH) Vol. 21 Issue 4 Pg. 331-9 (Dec 01 1999) ISSN: 0387-821X [Print] Japan
PMID10629904 (Publication Type: English Abstract, Journal Article, Review)
Chemical References
  • Anticoagulants
Topics
  • Anticoagulants (therapeutic use)
  • Brain Neoplasms (therapy)
  • Cerebrovascular Disorders (therapy)
  • Clinical Trials as Topic
  • Combined Modality Therapy
  • Humans
  • Hyperbaric Oxygenation (adverse effects)
  • Intracranial Hypertension (etiology)
  • Neurosurgery (trends)
  • Occupational Medicine
  • Preventive Medicine
  • Radiotherapy

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