Clostridial brain abscess and hyperbaric oxygen.

The first case of ‘gas gangrene’ of the brain treated with hyperbaric oxygen is reported. It is suggested that there is no place in clostridial infection confined to the central nervous system for hyperbaric oxygen treatment. The early onset of symptoms in clostridial brain abscess with the presence of a gas bubble localizing the abscess were again confirmed. The importance of taking a careful history and obtaining skull radiographs in suspected penetrating wounds is stressed.