Katsuki Masahito, Fukushima Taiki, Goto Tetsuya, Hanaoka Yoshiki, Wada Naomichi, Nakamura Takuya, Sasaki Shiori, Horiuchi Tetsuyoshi
Department of Neurosurgery, Japanese Red Cross Suwa Hospital, Suwa, JPN.
Neurology, UBeing, Inc., Nagoya, JPN.
Cureus. 2024 Mar 21;16(3):e56630. doi: 10.7759/cureus.56630. eCollection 2024 Mar.
Aneurysmal subarachnoid hemorrhage (SAH) is a critical condition associated with high mortality rates. Hypertension is a significant risk factor for SAH development and recurrence following coil embolization for a ruptured aneurysm. While reduction of salt consumption is crucial for managing hypertension, it often compromises food taste. Anodal electrical taste stimulation (ETS) has been proposed to enhance taste perception without altering salt content. We present the case of a 69-year-old female SAH patient with a ruptured aneurysm at the anterior communicating artery who underwent coil embolization and in whom we tested ETS's efficacy in enhancing the salt taste perception on day 42 after the procedure. ETS effectively enhanced the salt taste perception threshold and perceived concentration; the threshold for salt taste without electrical stimulation was 0.8% of salt-impregnated filter paper, whereas that with electrical stimulation was 0.6%. The perception of salt taste was enhanced: 0.8% and 1.0% of filter papers were perceived as 0.6% and 0.8% without electrical stimulation and 1.0% and 1.2% with electrical stimulation, respectively. This is the first report describing the salt perception-enhancing effect of ETS in an actual patient. Further studies involving actual patients are required to determine how ETS affects habitual salt intake and blood pressure trends.
动脉瘤性蛛网膜下腔出血(SAH)是一种死亡率很高的危急病症。高血压是SAH发生以及破裂动脉瘤进行弹簧圈栓塞后复发的重要危险因素。虽然减少盐的摄入量对于控制高血压至关重要,但这往往会影响食物的味道。阳极电味觉刺激(ETS)已被提出可在不改变盐含量的情况下增强味觉。我们报告了一例69岁女性SAH患者,其前交通动脉有一个破裂动脉瘤,接受了弹簧圈栓塞治疗,我们在术后第42天测试了ETS增强盐味感知的效果。ETS有效地提高了盐味感知阈值和感知浓度;无电刺激时盐味阈值为浸盐滤纸的0.8%,有电刺激时为0.6%。盐味感知得到增强:无电刺激时,0.8%和1.0%的滤纸分别被感知为0.6%和0.8%,有电刺激时分别被感知为1.0%和1.2%。这是第一份描述ETS在实际患者中增强盐味感知效果的报告。需要进一步开展涉及实际患者的研究,以确定ETS如何影响习惯性盐摄入量和血压趋势。