Percutaneous epidural neurostimulation in modulation of paraplegic spasticity - Six case reports

R. R. Richardson*, L. J. Cerullo, D. G. McLone, F. A. Gutierrez, V. Lewis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Six cases of paraplegic, post-traumatic spasticity, alleviated by percutaneous epidural neurostimulation with temporary or permanent implanted neuroelectrodes from the L1 to L4 intervertebral levels are presented. Modulation of this spasticity and secondary beneficial physiological effects were achieved, including regulation of bowel regimens, production of sweating and piloerection below the level of the lesion, and morning erections. The main advantages of percutaneous epidural neurostimulation in modulating spasticity are the avoidance of destructive neurosurgical procedures, the regulation of secondary physiological and autonomic responses, the avoidance of antispasticity medications, and the reversibility of the neurostimulation procedure.

Original languageEnglish (US)
Pages (from-to)235-243
Number of pages9
JournalActa Neurochirurgica
Volume49
Issue number3-4
DOIs
StatePublished - Sep 1 1979

Keywords

  • Electrical stimulation
  • Paraplegic spasticity

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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