Gun Shot Wound to Brain

Scan #1	Scan #2

29 year old female; self-inflicted .38 caliber hollow point to right temple.

6 years post trauma:

• Severe spasticity arms and legs.
• Paraplegia with severe weakness in arms.
• Poor trunk control.
• Insomnia secondary to muscle spasms.
• Intractable constipation.
• Headaches.

First scan: baseline SPECT: Marked diffuse decrease in blood flow with worst area along path of bullet.

80 HBOT treatments.

Physiatrist reports:

• Generalized decrease in spasticity, increase in left hand grip, and movement in knees.

Patient reports:

• Increased trunk and extremity motor function.
• Marked decrease in insomnia.
• Natural bowel movements without constipation
• Decreased headaches.

Second scan: Generalized increase in brain blood flow with pattern