Richardson R R, McLone D G
Surg Neurol. 1978 Mar;9(3):153-5.
A case of post-paraplegic, post-traumatic spasticity, alleviated by percutaneous epidural neurostimulation from implanted electrodes at the L1 and L3 intervertebral levels, is presented. Secondary beneficial physiological effects and controls of involuntary activity that were achieved were regulation of a bowel regime, production of sweating below the level of the lesion, increased piloerections, and morning penile erections. Electrical modulation of the involuntary motor and autonomic activities below a complete spinal cord injury is discussed. The main advantages of such treatment in modulating spasticity are the avoidance of all other destructive neurosurgical procedures and the regulation of secondary physiological, autonomic responses. Long-term follow-up and additional therapeutic proofs are necessary to substantiate this preliminary report.
本文介绍了一例截瘫后创伤后痉挛患者，通过在L1和L3椎间隙水平植入电极进行经皮硬膜外神经刺激后症状得到缓解。所实现的继发性有益生理效应和对非自主活动的控制包括肠道功能调节、损伤平面以下出汗、竖毛增多以及晨间阴茎勃起。讨论了完全性脊髓损伤以下非自主运动和自主神经活动的电调制。这种治疗在调节痉挛方面的主要优点是避免了所有其他破坏性神经外科手术，并调节了继发性生理和自主神经反应。需要长期随访和更多治疗证据来证实这份初步报告。
