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Evaluating the Impact of Hyperbaric Oxygen Therapy and Neurofeedback on Mild Traumatic Brain Injury: A Case Report

Peterson T, AbouAssaly JR, Terry E, Burgin S, Sherwin R, Strale F

Cureus, 2025

Abstract

A 38-year-old male patient sustained a concussion in May 2017 while playing hockey. Despite initially following standard treatments and rest, he continued to experience post-concussive symptoms. Approximately two weeks later, he sought alternative therapy at The Oxford Center in Brighton, Michigan, where he was introduced to hyperbaric oxygen therapy (HBOT). Although a 40-session protocol was recommended, he ended treatment after 11 sessions, noting subjective improvements but later recognizing that discontinuing early may have hindered full recovery. Over time, the patient's medical history, encompassing ocular migraines, chronic and adrenal fatigue, and recurrent infections, contributed to ongoing stressors. Seasonal variations and occupational demands further exacerbated his symptoms. In July 2018, a second head injury occurred during a jet-ski accident, leading to more pronounced cognitive and functional impairments. A renewed course of 40 HBOT sessions, followed by an additional 40, produced substantial improvement and subsequent neurofeedback interventions further enhanced cognitive function, emotional regulation, and overall quality of life. By early 2019, after roughly 100 HBOT sessions, the patient reported a near-complete return to baseline. He continued periodic HBOT for maintenance, describing it as a "breath of life." From 2018 to mid-2024, successive neurofeedback sessions, guided by quantitative electroencephalography (qEEG) assessments, yielded marked gains…

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