A 60-year-old female with post-concussion syndrome (PCS) presented with persistent cognitive deficits and functional limitations following a slip and fall. She underwent a multimodal therapeutic protocol including hyperbaric therapy (HBT), photobiomodulation (PBM), and molecular hydrogen (MH) therapy over 10 sessions. Pre- and post-treatment assessments demonstrated significant improvements in cognitive function and neurophysiological markers, as evidenced by WAVi EEG and Trail Making Test (TMT) results. This case highlights the potential of a non-invasive, multimodal therapeutic approach to address persistent post-concussion symptoms, an area with limited effective interventions. Findings suggest that integrating these therapies into standard rehabilitation protocols may enhance recovery trajectories, particularly for patients with persistent cognitive symptoms. This case report explores the clinical course, treatment efficacy, and the potential for combining these therapies in addressing complex neurological recovery.
References
[1]
Leddy, J.J., Haider, M.N., Noble, J.M., Rieger, B., Flanagan, S., McPherson, J.I., et al. (2021) Management of Concussion and Persistent Post-Concussive Symptoms for Neurologists. CurrentNeurologyandNeuroscienceReports, 21, Article No. 72. https://doi.org/10.1007/s11910-021-01160-9
[2]
Zetterberg, H. and Blennow, K. (2016) Fluid Biomarkers for Mild Traumatic Brain Injury and Related Conditions. NatureReviewsNeurology, 12, 563-574. https://doi.org/10.1038/nrneurol.2016.127
Hamblin, M.R. (2017) Photobiomodulation for Traumatic Brain Injury and Stroke. JournalofNeuroscienceResearch, 96, 731-743. https://doi.org/10.1002/jnr.24190
[5]
Dompe, C., Moncrieff, L., Matys, J., Grzech-Leśniak, K., Kocherova, I., Bryja, A., et al. (2020) Photobiomodulation—Underlying Mechanism and Clinical Applications. JournalofClinicalMedicine, 9, Article 1724. https://doi.org/10.3390/jcm9061724
[6]
Hirano, S., Ichikawa, Y., Sato, B., Yamamoto, H., Takefuji, Y. and Satoh, F. (2021) Potential Therapeutic Applications of Hydrogen in Chronic Inflammatory Diseases: Possible Inhibiting Role on Mitochondrial Stress. InternationalJournalofMolecularSciences, 22, Article 2549. https://doi.org/10.3390/ijms22052549
[7]
Ohta, S. (2015) Molecular Hydrogen as a Novel Antioxidant: Overview of the Advantages of Hydrogen for Medical Applications. MethodsinEnzymology, 555, 289-317. https://doi.org/10.1016/bs.mie.2014.11.038
[8]
Hadanny, A., Golan, H., Fishlev, G., Bechor, Y., Volkov, O., Suzin, G., et al. (2015) Hyperbaric Oxygen Can Induce Neuroplasticity and Improve Cognitive Functions of Patients Suffering from Anoxic Brain Damage. RestorativeNeurologyandNeuroscience, 33, 471-486. https://doi.org/10.3233/rnn-150517
[9]
Cardoso, F.d.S., Gonzalez-Lima, F. and Coimbra, N.C. (2022) Mitochondrial Photobiomodulation as a Neurotherapeutic Strategy for Epilepsy. FrontiersinNeurology, 13, Article 873496. https://doi.org/10.3389/fneur.2022.873496
[10]
Slezak, J., Kura, B., LeBaron, T.W., Singal, P.K., Buday, J. and Barancik, M. (2021) Oxidative Stress and Pathways of Molecular Hydrogen Effects in Medicine. CurrentPharmaceuticalDesign, 27, 610-625. https://doi.org/10.2174/1381612826666200821114016
[11]
Pavarini, S.C.I., Brigola, A.G., Luchesi, B.M., Souza, É.N., Rossetti, E.S., Fraga, F.J., et al. (2018) On the Use of the P300 as a Tool for Cognitive Processing Assessment in Healthy Aging: A Review. Dementia&Neuropsychologia, 12, 1-11. https://doi.org/10.1590/1980-57642018dn12-010001
[12]
Ashendorf, L., Jefferson, A., Oconnor, M., Chaisson, C., Green, R. and Stern, R. (2008) Trail Making Test Errors in Normal Aging, Mild Cognitive Impairment, and Dementia. ArchivesofClinicalNeuropsychology, 23, 129-137. https://doi.org/10.1016/j.acn.2007.11.005