中国神经再生研究(英文版) ›› 2017, Vol. 12 ›› Issue (6): 977-980.doi: 10.4103/1673-5374.208593

• 原著:脊髓损伤修复保护与再生 • 上一篇    下一篇

脉冲射频缓解脊髓损伤患者痉挛:2例报告

  

  • 收稿日期:2017-03-01 出版日期:2017-06-15 发布日期:2017-06-15

Effects of pulsed radiofrequency on spasticity in patients with spinal cord injury: a report of two cases

Min Cheol Chang, Yun Woo Cho   

  1. Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daemyungdong, Namku, Daegu, Republic of Korea
  • Received:2017-03-01 Online:2017-06-15 Published:2017-06-15
  • Contact: Min Cheol Chang, M.D., wheel633@hanmail.net.

摘要:

 

脊髓损伤后的肌肉痉挛会进一步导致脊髓损伤患者功能减退、生活质量下降。此次,我们报道了2例应用脉冲射频治疗脊髓损伤后下肢痉挛效果较好的病例。病例1为47岁完全性胸髓损伤男性患者,表现为双膝伸肌肉阶段痉挛状态和双髋内收肌强直性痉挛状态。病例2为64岁完全性颈髓损伤男性患者,表现为行走时的右踝阵挛。病例1和2分别接受L2/3背根神经节和右S1背根神经节脉冲射频(频率5Hz,脉宽5ms,360 s,45V)干预后,痉挛症状消失或明显减轻。脉冲射频的治疗作用可持续约6个月,且无副作用。由此认为脉冲射频可有效、完全地用于治疗脊髓损伤患者痉挛状态。

ORCID:0000-0002-7629-7213(Min Cheol Chang)

关键词: 神经再生, 脊髓损伤, 痉挛, 脉冲射频, 病例报告

Abstract:

Spasticity following spinal cord injury (SCI) results in functional deterioration and reduced quality of life. Herein, we report two SCI patients who presented with good response to pulsed radiofrequency (PRF) for the management of spasticity in the lower extremities. Patient 1 (a 47-year-old man) had complete thoracic cord injury and showed a phasic spasticity on the extensor of both knees (3–4 beats clonus per every 30 seconds) and tonic spasticity (Modified Ashworth Scale: 3) on both hip adductors. Patient 2 (a 64-year-old man) had incomplete cervical cord injury and showed a right ankle clonus (approximately 20 beats) when he walked. After the application of PRF to both L2 and L3 dorsal root ganglion (DRG) (patient 1) and right S1 DRG (patient 2) with 5 Hz and 5 ms pulsed width for 360 seconds at 45V under the C-arm guide, all spasticity disappeared or was reduced. Moreover, the effects of PRF were sustained for approximately 6 months with no side effects. We believe that PRF treatment can be useful for patients with spasticity after SCI.

Key words: nerve regeneration, spinal cord injury, spasticity, pulsed radiofrequency, case report, neural regeneration