Identificador persistente para citar o vincular este elemento: http://hdl.handle.net/10553/47736
Título: Spinal cord stimulation in the treatment of post-stroke patients: current state and future directions
Autores/as: Robaina, F.
Clavo, B. 
Clasificación UNESCO: 32 Ciencias médicas
321308 Neurocirugía
Palabras clave: Spinal cord
Stroke
Cerebral arteries
Electric stimulation
Fecha de publicación: 2007
Publicación seriada: Acta Neurochirurgica, Supplement 
Resumen: A decrease in cerebral blood flow (CBF) and brain metabolic activity are well-known complications of stroke. Spinal cord stimulation (SCS) is successfully being used for the treatment of several low-perfusion syndromes. The aim of this chapter is to describe the data that support the effect of SCS on CBF and the use of SCS in the treatment of stroke and cerebral low perfusion syndromes. In addition, we present our relevant studies. Since April 1995, we have assessed 49 non-stroke patients. The following parameters were measured pre- and post-stroke: (1) CBF in healthy contralateral tissue by single photon emission computed tomography (SPECT), (2) systolic and diastolic velocity in the middle cerebral artery (MCA) by transcranial Doppler, (3) blood flow quantification in the common carotid artery (CCA) by color Doppler, and (4) glucose metabolism in healthy contralateral tissue by positron emission tomography (PET). Our results showed that during cervical SCS there was a significant (p < 0.001) increase in systolic (> or =21%) and diastolic (>26%) velocity in the MCA, and CCA blood flow (> or =51%) as well as glucose metabolism (44%). We concluded that cervical SCS (cSCS) can modify CBF and brain metabolism. Its potential role in the management of stroke and low-perfusion syndromes is further investigated by experimental studies and reports describing clinical experience. Appropriate clinical trials are warranted.
URI: http://hdl.handle.net/10553/47736
ISSN: 0065-1419
DOI: 10.1007/978-3-211-33079-1_37
Fuente: Acta neurochirurgica. Supplement[ISSN 0065-1419],v. 97, p. 277-282
Colección:Reseña
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