Migraine Treated with Hyperbaric Oxygen Chambers

Migraine Treated with Hyperbaric Oxygen Chambers

Migrane is demonstrated as a severe periodic, unilateral, pulsatile headache associated with nausea, malaise, vomiting and photophobia. Factors that often precipitate attack are environmental stimuli such as emotional stress, strenuous physical exercise, too much sleep or sleep deprivation, some food (chocolate, aged cheese, nuts), alcohol (especially red wine), medical conditions and medication (antihypertensive drugs, contraceptive drugs, nitroglycerin).

In pathogenesis of migraine, vascular and biochemical changes play important role. First phase is vasospasm accompanied with reduction in blood flow causing ischemia and edema of intracranial vessels. Second phase is vasodilatation (extracranial vessels) with hyperemia (an increased amount of blood in a part or organ) and platelet aggregation that impairs microcirculation leading to pain.

There are reports of successful experimental use of hyperbaric oxygen therapy in migraine due to following HBO effects:

• HBO relieves pain by vasoconstriction of cerebral vessels

• HBO reduces hypoxia and increases oxygenation of brain

• HBO reduces swelling caused by inflammatory response in ischemic vessels

• HBO improves microcirculation by decreasing platelet aggregation

References:

1. Di Sabato F et al.: Effect of hyperbaric oxygen on the immunoreactivity to substance P in the nasal mucosal of cluster headache patients Headache, 1996,36: 221-223

2. Di Sabato F et al.: Hyperbaric oxygen therapy in cluster headache, Pain 1993, 52; 243-245

3. Di Sabato F et al.: Hyperbaric oxygen in chronic cluster headaches, Undearsea & Hyperbaric Medicine 1997, 24: 117-122

4. Fife WP et al.: Treatment of migraine with hyperbaric oxygen, Journal of Hyperbaric Med 4: 7-15; 1989.

5. Jain KK et al.: Hyperacute hyperbaric oxygen therapy for cerebral ischemia, Undearsea & Hyperbaric Medical Society 1998

6. Myers DE et al.: A preliminary report on hyperbaric oxygen in the relief of migraine headache, Headache, ,35: 197-199, 1995.

7. Pascual J et al.: Preventive effects of hyperbaric oxygen in cluster headache, Headache, 1995,35: 260-261

8. Robbins L et al.: Menstrual migraine with feature of cluster headache, Headache, 1996,36: 166-167

9. Thomsen LL et al.: Cerebral blood flow velocities are reduced during attacks of unilateral migraine without aura, Cephalalgia, 1995, 15: 77-78

10. Shalkevic VB et al.: Use of hyperbaric oxygenation in the therapy of transiet cerebral circulatory disturbances in the vertebro-basilar system, Abstracts of 7th international congress on HBO medicine.USSR Academy of Sciences, Moskow pp 294-295

11. Sukoff MH et al.: Hyperbaric oxygenation for the treatment of acute cerebral edema, Neurosurg 10 (1): 29-38

12. Weiss LD et al.: Treatment of cluster headaches in a hyperbaric chamber, Headache, 1989 29: 109-110

13. Wilson JR et al.: Hyperbaric oxygen in the treatment of migraine with aura, Headache: Feb 1998 , vol 38, 112-115.


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hiperbarik untuk migraine (dr.erick supondha; dokter konsultan ahli hiperbarik)