Therapeutic results of motor cortex stimulation for post-stroke paresis

被引:0
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作者
Sakoguchi, T [1 ]
Takeshita, S [1 ]
Ohba, S [1 ]
Sakamoto, S [1 ]
Iida, K [1 ]
Kiura, Y [1 ]
Arita, K [1 ]
Kurisu, K [1 ]
机构
[1] Hiroshima Univ, Grad Sch Biomed Sci, Dept Neurosurg, Hiroshima, Japan
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R74 [神经病学与精神病学];
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摘要
Recently it has been reported that electric stimuli to the paretic limbs after stroke and magnetic stimuli to the motor cortex might improve paresis [1]. The authors report the clinical effect of motor cortex stimulation (MCS) to herniparesis after stroke. We analyzed 20 patients who underwent MCS to neuropathic pain (NP) from 1993 to 2004. No complication was observed. More than 40% decrease of visual analogue scale (VAS) was noted in 10 cases in 20 cases after operation. Brunnstrom stages (BS) were compared before and after MCS in the power of upper(U/E) and lower extremities(L/E) and digits. Four of 20 cases in U/E and I of 20 in L/E showed the improvement of BS, but no in fingers. Movement speed also increased in the limbs which showed the improvement of BS. NP was improved in all cases of which BS were improved. MCS is less invasive and showed high effectiveness to NIP. MCS is also useful to some spastic paresis after stroke.
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页码:187 / 190
页数:4
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