Upadhyaya C D, Sagher O
Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, USA.
Acta Neurochir Suppl. 2007;97(Pt 1):267-75. doi: 10.1007/978-3-211-33079-1_36.
Spinal cord stimulation (SCS) is a well established therapy in the treatment for chronic pain. SCS has also been shown to increase peripheral blood flow and is now an accepted treatment in the management of ischemic limb pain and angina. There is a growing body of evidence that cervical spinal cord stimulation also increases cerebral blood flow (CBF) in both animal and human models. SCS could potentially impact on the treatment of cerebral vasospasm and stroke by an increase in CBEF The utility of SCS is also being explored in novel applications such as adjunctive tumor therapy, where resistance to therapy conferred by tissue hypoxia may be ameliorated by CBF augmentation.
脊髓刺激(SCS)是治疗慢性疼痛的一种成熟疗法。SCS还被证明可增加外周血流量,目前已被认可用于治疗缺血性肢体疼痛和心绞痛。越来越多的证据表明,在动物和人类模型中,颈脊髓刺激也能增加脑血流量(CBF)。SCS可能通过增加脑血流量来影响脑血管痉挛和中风的治疗。SCS在诸如辅助肿瘤治疗等新应用中的效用也正在被探索,在辅助肿瘤治疗中,组织缺氧导致的治疗抵抗可能会通过增加脑血流量得到改善。