Efficacy analysis of high cervical spinal cord stimulation for severe consciousness disturbance
Dong Yueqing
Zhang Sai
Sun Hongtao
Zhao Yongqing
Wu Huili
Dong Junqiang
Gong Lei
Abstract：Objective To explore the awakening effects of high cervical spinal cord stimulation (SCS) on patients with severe consciousness disturbance (SCD). Methods Clinical data of 22 SCD patients were analyzed retrospectively, including 8 patients in the vegetative state and 14 in the minimally conscious state. All the patients underwent electrophysiological evaluation 3 months after acute period of primary disease. Fifteen patients including 4 patients in the vegetative state and 11 in the minimally conscious state satisfied the criteria of electrophysiological evaluation and received high cervical SCS. The remaining 9 patients did not receive SCS. Results All the patients were followed-up for 9 months, 9 out of patients undergoing SCS waked up and the GOS results were mildly disabled in 2, moderately disabled in 2 and severely disabled in 5. Compared with cerebral blood flow before SCS, the cerebral blood flow of above 9 patients increased by 36.6% after SCS (t = 2.775, P < 0.05). The patients who did not receive SCS remained in consciousness disturbance state. Conclusion High cervical SCS is a proper method for the treatment of SCD.
Keywords：consciousness disordersseriousspinal cord stimulationhigh cervicalminimally conscious statevegetative state
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 258-260 )