Percutaneous epidural neurostimulation in modulation of paraplegic spasticity
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Six cases of paraplegic, post-traumatic spasticity, alleviated by percutaneous epidural neurostimulation with temporary or permanent implanted neuroelectrodes from the L1 to L4 intervertebral levels are presented. Modulation of this spasticity and secondary beneficial physiological effects were achieved, including regulation of bowel regimens, production of sweating and piloerection below the level of the lesion, and morning erections. The main advantages of percutaneous epidural neurostimulation in modulating spasticity are the avoidance ofdestructive neurosurgical procedures, the regulation of secondary physiological and autonomic responses, the avoidance of antispasticity medications, and the reversibility of the neurostimulation procedure.
KeywordsElectrical stimulation Paraplegic spasticity
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- 1.Cook, A. W., Electrical stimulation in multiple sclerosis. Hospital PracticeII (1976), 51–58.Google Scholar
- 3 a.
- 4.Dooley, D. M., Demyelinating, degenerative, and vascular disease. NeurosurgeryI (1977), 220–225.Google Scholar
- 5.Dooley, D. M., Kasprak, M., Modification of blood flow to the extremities by electrical stimulation of the nervous system. South Med. J.69 (1976), 1304–1311.Google Scholar
- 6.Ilis, L. S., Oygar, A. E., Sedgwick, E. M., Sabbahi Awadalla, M. A., Dorsal-column stimulation in the rehabilitation of patients with multiple sclerosis. Lancet, June 26 (1976), 1383–1386.Google Scholar
- 10.Martin, J., Davis, L., Studies upon spinal, cord injuries. III. Altered reflex activity. Surg. Gynec. Obstet.86 (1947), 42–477.Google Scholar
- 13.Munro, D., Anterior rhizotomy for spastic paraplegia. NEJM233 (1945), 195–202.Google Scholar
- 14.Pedersen, E., Spasticity-mechanism, measurement, and management, pp. 36–53. Springfield, Ill.: Ch. C Thomas. 1969.Google Scholar
- 15.Pollock, L. J., Defects in regulatory mechanisms of autonomic function in injuries to the spinal cord. J. Neurophysiol.14 (1951), 83–93.Google Scholar
- 17.Ruch, T. C., Patton, H. D., Neurophysiology, pp. 188–205. Philadelphia: W. B. Saunders Co. 1965.Google Scholar
- 18.Ruge, D. A., Spinal cord injuries, pp. 135–160. Springfield, Ill.: Ch. C Thomas. 1969.Google Scholar
- 19.carff, J. E., Peel, J. L., Factors causing massive spasm following transsections of the spinal cord in man. J. Neurophysiol. (1946), 285–295.Google Scholar
- 20.Sheldon, C. H., Bors, E., Subarachnoid alcohol block in paraplegia. Its beneficial effect on mass reflexes and bladder dysfunction. J. Neurosurg.5 (1948), 385–391.Google Scholar
- 21.Sweet, W. H., Wespic, J. G., Stimulation of pain suppressor mechanism a critique of some current methods. Advances in Neurol.4 (1974), 737–747.Google Scholar
- 23.Thoden, U., Krainick, J. U., Strassburg, H. M., Zimmerman, H., Influence of dorsal column stimulation (DCS) on spastic movement disorders. Acta Neurochir. (Wien)39 (1977), 233–240.Google Scholar