Document Detail


Spinal cord stimulation for treatment of patients in the minimally conscious state.
MedLine Citation:
PMID:  22850495     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Minimally conscious state (MCS) is characterized by inconsistent but clearly discernible behavioral evidence of consciousness, and can be distinguished from coma and the vegetative state (VS). Ten MCS patients were evaluated neurologically and electrophysiologically over 3 months after the onset of brain injury, and were treated by spinal cord stimulation (SCS). A flexible four-contact, cylinder electrode was inserted into the epidural space of the cervical vertebrae, and placed at the C2-C4 levels. Stimulation was applied for 5 minutes every 30 minutes during the daytime at an intensity that produced motor twitches of the upper extremities. We used 5 Hz for SCS, considering that the induced muscle twitches can be a useful functional neurorehabilitation for MCS patients. Eight of the 10 MCS patients satisfied the electrophysiological inclusion criteria, which we proposed on the basis of the results of deep brain stimulation for the treatment of patients in the VS. Seven patients recovered from MCS following SCS therapy, and were able to carry out functional interactive communication and/or demonstrate the functional use of two different objects. Cervical SCS increased cerebral blood flow (CBF) diffusely in the brain, and CBF increased by 22.2% during the stimulation period compared with CBF before stimulation in MCS patients (p < 0.0001, paired t-test). Five-Hz cervical SCS could increase CBF and induce muscle twitches of the upper extremities. This SCS therapy method may be suitable for treating MCS.
Authors:
Takamitsu Yamamoto; Yoichi Katayama; Toshiki Obuchi; Kazutaka Kobayashi; Hideki Oshima; Chikashi Fukaya
Related Documents :
22560655 - Diagnosis of periprosthetic joint infection using synovial c-reactive protein.
21820755 - Role of β(1)-adrenoceptor autoantibodies in the pathogenesis of dilated cardiomyopathy.
21905255 - Vibratory perception threshold in young and middle-aged patients at high risk of knee o...
2063655 - Plasma thiobarbituric acid reactive substances a predictive marker of cerebral ischemia...
6630465 - Detection of urinary vi antigen as a diagnostic test for typhoid fever.
12450035 - Extravascular collagen in the human epileptic brain: a potential substrate for aberrant...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  52     ISSN:  1349-8029     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2012  
Date Detail:
Created Date:  2012-08-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  475-81     Citation Subset:  IM    
Affiliation:
Division of Applied System Neuroscience, Department of Neurological Surgery, Nihon University School of Medicine.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Spinal cord stimulation for the treatment of abnormal posture and gait disorder in patients with Par...
Next Document:  Cost-effectiveness analysis of intrathecal baclofen therapy in Japan.