Surgical Neurostimulation for Spinal Cord Injury

Traumatic spinal cord injury (SCI) is a devastating neurological condition characterized by a constellation of symptoms including paralysis, paraesthesia, pain, cardiovascular, bladder, bowel and sexual dysfunction. Current treatment for SCI involves acute resuscitation, aggressive rehabilitation an...

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Main Authors: Aswin Chari, Ian D. Hentall, Marios C. Papadopoulos, Erlick A. C. Pereira
Format: Article
Language:English
Published: MDPI AG 2017-02-01
Series:Brain Sciences
Subjects:
Online Access:http://www.mdpi.com/2076-3425/7/2/18
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author Aswin Chari
Ian D. Hentall
Marios C. Papadopoulos
Erlick A. C. Pereira
author_facet Aswin Chari
Ian D. Hentall
Marios C. Papadopoulos
Erlick A. C. Pereira
author_sort Aswin Chari
collection DOAJ
description Traumatic spinal cord injury (SCI) is a devastating neurological condition characterized by a constellation of symptoms including paralysis, paraesthesia, pain, cardiovascular, bladder, bowel and sexual dysfunction. Current treatment for SCI involves acute resuscitation, aggressive rehabilitation and symptomatic treatment for complications. Despite the progress in scientific understanding, regenerative therapies are lacking. In this review, we outline the current state and future potential of invasive and non-invasive neuromodulation strategies including deep brain stimulation (DBS), spinal cord stimulation (SCS), motor cortex stimulation (MCS), transcutaneous direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) in the context of SCI. We consider the ability of these therapies to address pain, sensorimotor symptoms and autonomic dysregulation associated with SCI. In addition to the potential to make important contributions to SCI treatment, neuromodulation has the added ability to contribute to our understanding of spinal cord neurobiology and the pathophysiology of SCI.
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spelling doaj.art-7b29fc14b0ab46f79f914e3f9abc75182022-12-21T22:08:30ZengMDPI AGBrain Sciences2076-34252017-02-01721810.3390/brainsci7020018brainsci7020018Surgical Neurostimulation for Spinal Cord InjuryAswin Chari0Ian D. Hentall1Marios C. Papadopoulos2Erlick A. C. Pereira3Academic Neurosurgery Unit, St George’s, University of London, London SW17 0RE, UKThe Miami Project to Cure Paralysis and Department of Neurological Surgery, Miller School of Medicine, University of Miami, Miami, FL 33101, USAAcademic Neurosurgery Unit, St George’s, University of London, London SW17 0RE, UKAcademic Neurosurgery Unit, St George’s, University of London, London SW17 0RE, UKTraumatic spinal cord injury (SCI) is a devastating neurological condition characterized by a constellation of symptoms including paralysis, paraesthesia, pain, cardiovascular, bladder, bowel and sexual dysfunction. Current treatment for SCI involves acute resuscitation, aggressive rehabilitation and symptomatic treatment for complications. Despite the progress in scientific understanding, regenerative therapies are lacking. In this review, we outline the current state and future potential of invasive and non-invasive neuromodulation strategies including deep brain stimulation (DBS), spinal cord stimulation (SCS), motor cortex stimulation (MCS), transcutaneous direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) in the context of SCI. We consider the ability of these therapies to address pain, sensorimotor symptoms and autonomic dysregulation associated with SCI. In addition to the potential to make important contributions to SCI treatment, neuromodulation has the added ability to contribute to our understanding of spinal cord neurobiology and the pathophysiology of SCI.http://www.mdpi.com/2076-3425/7/2/18spinal cord injuryspinal cord stimulationdeep brain stimulationneuromodulation
spellingShingle Aswin Chari
Ian D. Hentall
Marios C. Papadopoulos
Erlick A. C. Pereira
Surgical Neurostimulation for Spinal Cord Injury
Brain Sciences
spinal cord injury
spinal cord stimulation
deep brain stimulation
neuromodulation
title Surgical Neurostimulation for Spinal Cord Injury
title_full Surgical Neurostimulation for Spinal Cord Injury
title_fullStr Surgical Neurostimulation for Spinal Cord Injury
title_full_unstemmed Surgical Neurostimulation for Spinal Cord Injury
title_short Surgical Neurostimulation for Spinal Cord Injury
title_sort surgical neurostimulation for spinal cord injury
topic spinal cord injury
spinal cord stimulation
deep brain stimulation
neuromodulation
url http://www.mdpi.com/2076-3425/7/2/18
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