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脊髓刺激对多发性硬化症患者功能的影响。

The effect of spinal cord stimulation on function in patients with multiple sclerosis.

作者信息

Read D J, Matthews W B, Higson R H

出版信息

Brain. 1980 Dec;103(4):803-33. doi: 10.1093/brain/103.4.803.

DOI:10.1093/brain/103.4.803
PMID:7437891
Abstract

Eleven patients with static or slowly progressive multiple sclerosis were treated with continuous spinal cord stimulation via epidural electrodes for a minimum of two weeks. An extensive battery of objective tests was used to assess results. Significant improvement in urinary bladder function was seen in 2 of the patients with a lesser degree of improvement in 4 others and reduction of lower limb spasticity in 6 patients. Five additional patients selected for these disabilities were then treated with further evidence of improvement in bladder function in 4 and in lower limb spasticity in 2. It is suggested that benefit results from inhibition of excessive spinal reflex activity.

摘要

11例患有静止性或缓慢进展性多发性硬化症的患者通过硬膜外电极接受了至少两周的脊髓持续刺激治疗。使用了一系列广泛的客观测试来评估结果。2例患者膀胱功能有显著改善,另外4例有较小程度的改善,6例患者下肢痉挛减轻。另外5例因这些残疾入选的患者随后接受治疗,其中4例膀胱功能有进一步改善的证据,2例下肢痉挛有改善。有人认为,这种益处源于对过度脊髓反射活动的抑制。

相似文献

1
The effect of spinal cord stimulation on function in patients with multiple sclerosis.脊髓刺激对多发性硬化症患者功能的影响。
Brain. 1980 Dec;103(4):803-33. doi: 10.1093/brain/103.4.803.
2
Spinal cord stimulation in multiple sclerosis: clinical results.脊髓刺激治疗多发性硬化症:临床结果
J Neurol Neurosurg Psychiatry. 1980 Jan;43(1):1-14. doi: 10.1136/jnnp.43.1.1.
3
Overview of neuroaugmentation.神经增强概述。
Neurosurgery. 1977 Sep-Oct;1(2):230-2.
4
Stimulation of dorsal column in multiple sclerosis.多发性硬化症中背柱的刺激
Br Med J. 1980 Mar 29;280(6218):889-91. doi: 10.1136/bmj.280.6218.889.
5
[Epidural spinal electrostimulation (ESES) in patients with chronic pain and central motor disturbances (author's transl)].慢性疼痛和中枢运动障碍患者的硬膜外脊髓电刺激(作者译)
Wien Klin Wochenschr. 1981 Nov 27;93(22):688-95.
6
Dorsal column stimulation in multiple sclerosis: effects on bladder and long term findings.多发性硬化症中的背柱刺激:对膀胱的影响及长期研究结果
Br Med J (Clin Res Ed). 1983 Sep 17;287(6395):793-5. doi: 10.1136/bmj.287.6395.793.
7
Evoked potentials and contingent negative variation during treatment of multiple sclerosis with spinal cord stimulation.脊髓刺激治疗多发性硬化症期间的诱发电位和伴随负变化
J Neurol Neurosurg Psychiatry. 1980 Jan;43(1):15-24. doi: 10.1136/jnnp.43.1.15.
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[Spinal cord neurostimulation in neurogenic bladder].[神经源性膀胱的脊髓神经刺激]
J Urol Nephrol (Paris). 1974 Dec;80(12 pt 2):287-9.
9
Effect of electrical stimulation of the thoracic spinal cord on the function of the bladder in multiple sclerosis.胸段脊髓电刺激对多发性硬化症膀胱功能的影响
J Urol. 1977 Mar;117(3):285-8. doi: 10.1016/s0022-5347(17)58436-0.
10
The value of dorsal column stimulation in multiple sclerosis.
Scand J Rehabil Med. 1982;14(4):183-91.

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2
The Efficacy of Spinal Cord Stimulators in the Reduction of Multiple Sclerosis Spasticity: A Narrative Systematic Review.脊髓刺激器在减轻多发性硬化症痉挛方面的疗效:一项叙述性系统评价
Brain Neurorehabil. 2023 Jul 19;16(2):e19. doi: 10.12786/bn.2023.16.e19. eCollection 2023 Jul.
3
The Effect of Repetitive Transcranial Magnetic Stimulation on Spasticity in Patients with Multiple Sclerosis.
重复经颅磁刺激对多发性硬化症患者痉挛状态的影响
J Clin Neurol. 2019 Oct;15(4):461-467. doi: 10.3988/jcn.2019.15.4.461.
4
Invasive Therapies in Multiple Sclerosis.多发性硬化症的侵入性治疗
Noro Psikiyatr Ars. 2018;55(Suppl 1):S21-S25. doi: 10.29399/npa.23362.
5
Spinal direct current stimulation modulates the activity of gracile nucleus and primary somatosensory cortex in anaesthetized rats.脊髓直流电刺激调节麻醉大鼠薄束核和初级体感皮层的活动。
J Physiol. 2011 Oct 15;589(Pt 20):4981-96. doi: 10.1113/jphysiol.2011.214189. Epub 2011 Aug 8.
6
Spinal cord stimulation in peripheral vascular disease.脊髓刺激在外周血管疾病中的应用
J Neurol Neurosurg Psychiatry. 1983 Jun;46(6):478-84. doi: 10.1136/jnnp.46.6.478.
7
Central nervous stimulation in neurological disease.神经系统疾病中的中枢神经刺激
J R Soc Med. 1983 Nov;76(11):905-9. doi: 10.1177/014107688307601102.
8
Dorsal column stimulation in multiple sclerosis: effects on bladder and long term findings.多发性硬化症中的背柱刺激:对膀胱的影响及长期研究结果
Br Med J (Clin Res Ed). 1983 Sep 17;287(6395):793-5. doi: 10.1136/bmj.287.6395.793.
9
Spinal cord stimulation in the United Kingdom.英国的脊髓刺激疗法。
J Neurol Neurosurg Psychiatry. 1983 Apr;46(4):299-304. doi: 10.1136/jnnp.46.4.299.
10
The effect of spinal cord stimulation on idiopathic detrusor instability and incontinence: a case report.脊髓刺激对特发性逼尿肌不稳定和尿失禁的影响:一例报告
J Neurol Neurosurg Psychiatry. 1985 Aug;48(8):832-4. doi: 10.1136/jnnp.48.8.832.