Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns

SignificanceElectrical burns can cause severe damage to the nervous system, resulting in autonomic dysfunction with reduced cerebral perfusion. However, few studies have investigated these consequences.AimTo elucidate changes in prefrontal cerebral hemodynamics using functional near-infrared spectro...

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Main Authors: Yoo Hwan Kim, Youngmin Kim, Jaechul Yoon, Yong Suk Cho, Dohern Kym, Jun Hur, Wook Chun, Byung-Jo Kim
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnhum.2022.986230/full
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author Yoo Hwan Kim
Yoo Hwan Kim
Youngmin Kim
Jaechul Yoon
Yong Suk Cho
Dohern Kym
Jun Hur
Wook Chun
Byung-Jo Kim
Byung-Jo Kim
author_facet Yoo Hwan Kim
Yoo Hwan Kim
Youngmin Kim
Jaechul Yoon
Yong Suk Cho
Dohern Kym
Jun Hur
Wook Chun
Byung-Jo Kim
Byung-Jo Kim
author_sort Yoo Hwan Kim
collection DOAJ
description SignificanceElectrical burns can cause severe damage to the nervous system, resulting in autonomic dysfunction with reduced cerebral perfusion. However, few studies have investigated these consequences.AimTo elucidate changes in prefrontal cerebral hemodynamics using functional near-infrared spectroscopy (fNIRS) during the head-up tilt table test (HUT) for patients with electrical burns.ApproachWe recruited 17 patients with acute electrical burns within 1 week after their accidents and 10 healthy volunteers. The NIRS parameters acquired using an fNIRS device attached to the forehead were analyzed in five distinct HUT phases.ResultsBased on their HUT response patterns, patients with electrical burns were classified into the group with abnormal HUT results (APG, n = 4) or normal HUT results (NPG, n = 13) and compared with the healthy control (HC, n = 10) participants. We found trends in hemodynamic changes during the HUT that distinguished HC, NPG, and APG. Reduced cerebral perfusion and decreased blood oxygenation during the HUT were found in both the NPG and APG groups. Patients with electrical burns had autonomic dysfunction compared to the HC participants.ConclusionsUsing fNIRS, we observed that acute-stage electrical burn injuries could affect cerebral perfusion.
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spelling doaj.art-24e9fa7335424386863136e1a2a2fe792022-12-22T04:25:27ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612022-09-011610.3389/fnhum.2022.986230986230Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burnsYoo Hwan Kim0Yoo Hwan Kim1Youngmin Kim2Jaechul Yoon3Yong Suk Cho4Dohern Kym5Jun Hur6Wook Chun7Byung-Jo Kim8Byung-Jo Kim9Department of Neurology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, South KoreaDepartment of Neurology, Graduate School, Korea University, Seoul, South KoreaDepartment of Surgery, Burn and Trauma Center, Daein Surgery and Medical Hospital, Seongnam, South KoreaDepartment of Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South KoreaDepartment of Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South KoreaDepartment of Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South KoreaDepartment of Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South KoreaDepartment of Surgery, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South KoreaDepartment of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, South KoreaBK21FOUR R&E Center for Learning Health Systems, Korea University, Seoul, South KoreaSignificanceElectrical burns can cause severe damage to the nervous system, resulting in autonomic dysfunction with reduced cerebral perfusion. However, few studies have investigated these consequences.AimTo elucidate changes in prefrontal cerebral hemodynamics using functional near-infrared spectroscopy (fNIRS) during the head-up tilt table test (HUT) for patients with electrical burns.ApproachWe recruited 17 patients with acute electrical burns within 1 week after their accidents and 10 healthy volunteers. The NIRS parameters acquired using an fNIRS device attached to the forehead were analyzed in five distinct HUT phases.ResultsBased on their HUT response patterns, patients with electrical burns were classified into the group with abnormal HUT results (APG, n = 4) or normal HUT results (NPG, n = 13) and compared with the healthy control (HC, n = 10) participants. We found trends in hemodynamic changes during the HUT that distinguished HC, NPG, and APG. Reduced cerebral perfusion and decreased blood oxygenation during the HUT were found in both the NPG and APG groups. Patients with electrical burns had autonomic dysfunction compared to the HC participants.ConclusionsUsing fNIRS, we observed that acute-stage electrical burn injuries could affect cerebral perfusion.https://www.frontiersin.org/articles/10.3389/fnhum.2022.986230/fullburnselectricnear-infrared spectroscopytilt table testcerebral blood flowhemodynamics
spellingShingle Yoo Hwan Kim
Yoo Hwan Kim
Youngmin Kim
Jaechul Yoon
Yong Suk Cho
Dohern Kym
Jun Hur
Wook Chun
Byung-Jo Kim
Byung-Jo Kim
Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns
Frontiers in Human Neuroscience
burns
electric
near-infrared spectroscopy
tilt table test
cerebral blood flow
hemodynamics
title Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns
title_full Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns
title_fullStr Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns
title_full_unstemmed Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns
title_short Frontal lobe hemodynamics detected by functional near-infrared spectroscopy during head-up tilt table tests in patients with electrical burns
title_sort frontal lobe hemodynamics detected by functional near infrared spectroscopy during head up tilt table tests in patients with electrical burns
topic burns
electric
near-infrared spectroscopy
tilt table test
cerebral blood flow
hemodynamics
url https://www.frontiersin.org/articles/10.3389/fnhum.2022.986230/full
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