Cerebral Small Vessel Diseases
Conditions
Keywords
small vessel disease of the brain, hyperbaric oxygen, functional connectivity MRI
Brief summary
Patients will have a Functional MRI before and after 10 hyperbaric Oxygen treatments.
Detailed description
Functional MRI studies will be done before and 4-6 weeks after Hyperbaric Oxygen treatment to assess changes in connectivity of resting state neural networks. 10 hyperbaric treatments at 2 atmospheres absolute for 1 hour at pressure will be administered. A review of symptoms and and thorough clinical neurological examination by an experienced neurologist familiar with these studies will be done before and 4-6 weeks after the hyperbaric treatments.
Interventions
Patients are treated in a hyperbaric oxygen chamber for 1 hour at 2ATA, 10 times over 2 consecutive weeks, 5 times per week
Sponsors
Study design
Eligibility
Inclusion criteria
* White Matter Hyperintensities on MRI * 2 or more neurological symptoms or impairments e.g. gait disturbances, disequilibrium, cognitive decline, dysmetria, hyper-rflexia
Exclusion criteria
* Contraindication to hyperbaric oxygen treatment e.g. pulmonary emphysema, seizure disorder * major eustachian tube dysfunction * stroke with previous 6 months * extreme cognitive impairment * major depression * history of migraine, electroshock therapy, brain irradiation, brain tumor, head trauma * other uncontrolled co-morbidities, e.g. diabetes, renal or hepatic dysfunction, hypertension, thyroid disorders, carotid artery stenosis (\>70%)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in average functional connectivity (fc) within the Default Mode Network and the Dorsal Attention Network will be obtained by resting state network (rsn) functional connectivity (rsnfc) MRI. | Change in baseline rsnfc before and 4 weeks after hyperbaric oxygen | Functional connectivity MRI of resting state neural networks. |
Countries
United States