When it comes to "vegetable people", we always think of the clips in movies and TV dramas, but in real life we seldom mention it and pay attention to it.
According to incomplete statistics, the number of new "vegetative" people in the world is as high as 530,000 per year, of which at least 100,000 new "vegetative" people are added every year in China.
The patient has been unable to wake up, the long-term treatment expenditure and the burden of complicated nursing care, which brings both economic and psychological pressure to the family.
In order to better help this group of patients, our hospital has set up the Wake-up Center for Consciousness Disorders, which adopts the advanced wake-up method of Spinal Cord Electrical Stimulation Therapy (SCES) in the hope that more patients with consciousness disorders will benefit from it. Spinal cord electrical stimulation therapy is an advanced treatment that we hope more patients with disorders of consciousness will benefit from!
Spinal Cord Electrical Stimulation Instrument
What is Spinal Cord Electrical Stimulation (SCS)?Spinal cord electrical stimulation surgery is through the cervical cord at the level of C2-C4 epidural placement of stimulation electrodes, pulsed stimulation through the upward reticular activation system to the cerebral cortex, increase the local glucose metabolic rate of the brain and cerebral blood flow, to promote excitatory transmitter release, enhancement of conscious impulses and electrical brain activity, as a way to promote the patient's awakening.
Who is suitable for spinal cord electrical stimulation surgery? 1、Patients with intermittent but clear conscious behavior (microconsciousness); 2、Patients with good potential for recovery of consciousness, but some of them are stagnant for a long period of time; 3、Traditional treatments are unable to improve their consciousness further. Who is not suitable for spinal cord electrical stimulation surgery? 1, neurodegenerative diseases, malignant brain tumors caused by postoperative2, systemic disease deterioration resulting in or complicated by coma, or patients who are not expected to live a long life
3, the level of consciousness has reached the diagnosis of out of the micro-consciousness, that is, the use of objects or the outside world to communicate effectively
4, the disease is less than 3 months, or 4 weeks of the presence of consciousness progressive improvement or deterioration.
What other conditions can SCS treat besides promoting awakening in a vegetative state?SCS can treat a number of other conditions in addition to vegetative wakefulness promotion and treatment of chronic pain
What chronic pain can SCS treat?
Diabetic foot pain
Peripheral ischemic pain
Postherpetic neuralgia
Failed spinal surgery syndrome (FBSS)
Neurogenic pain syndrome/neurogenic disorders
Phantom limb pain/residual limb pain
In addition to appealing chronic pain In addition to:
Arachnoiditis/lumbar adhesive arachnoiditis;
Dural fibrosis;
Peripheral nerve burning pain;
Reflex sympathetic dystrophy (RSD) or neuralgia;
Chronic refractory angina pectoris
These chronic pains are often poorly treated with medications, using high doses of medications and side effects that cause serious damage to the body; therefore, SCS surgery is feasible to relieve pain when medications are not effective in relieving pain.
Mechanism of Action of Spinal Cord Electrical Stimulation for Chronic PainSCS is a treatment that controls pain relief through weak electrical stimulation of spinal cord nerves. It generates weak electrical stimulation through a neurostimulator implanted subcutaneously in the abdomen, which is conducted to the dorsal columns of the spinal cord through electrodes placed in the epidural space in order to affect areas innervated by peripheral nerves in different segments. Studies have shown that spinal cord electrical stimulation is capable of directing microcurrents to the specific nerves needed to activate muscles, and that sustained stimulation induces the restoration of nerve function and inhibits the transmission of pain signals to the brain.
SCS broadly inhibits hyperexcitability of neurons in the wide power range of the dorsal horn of the spinal cord, eases the release of inhibitory neurotransmitters, such as GABA, and inhibits the release of excitatory neurotransmitters, such as glutamate and aspartate.
Generally when SCS surgery is used to treat chronic pain, it needs to be divided into two steps, the first step is to implant the electrodes first, the external stimulator, and observe the patient's pain relief by adjusting the parameters, as well as the side effects of the parameter adjustment. After a few days of observation, if the pain relief effect is good, the pulse generator can be implanted in the body in the second phase, if the pain relief effect is not good, the electrodes can be removed and the treatment program can be changed, such as changing to morphine pump implantation.
Winter Thunder Brain Hospital Wake-Up Center for Disorders of ConsciousnessMultidisciplinary team of experts
The hospital's Wake-Up Center for Disorders of Consciousness consists of a multidisciplinary team of neurological surgeons, neurological physicians, critical care medicine, rehabilitation, and radiology to provide patients with professional and personalized diagnosis and treatment services.
Multi-method, comprehensive and fine assessment system to guide the treatment
In terms of the assessment of the state of consciousness, in addition to the CRS-R scale, the team also adopts fMRI, DTI, CTP, EEG and brain-computer interface to assess the whole process of the patient, in order to clarify the change of the patient's state of consciousness, and then provide a reference for our whole treatment process. We provide reference and guidance for the whole treatment process.
Early intervention and standardized wakefulness promotion process
The whole treatment process of comatose patients includes critical care, management of complications, assessment of consciousness, medication to promote wakefulness, rehabilitation to promote wakefulness, and surgical promotion of wakefulness. The team will start the treatment of comatose patients from the early stage around wakefulness promotion, and form a set of standardized wakefulness promotion process, so as to improve the patient's wakefulness treatment effect.
*Note: The above drugs are only for clinical diagnosis of patients, the doctor prescribed treatment, patients should not buy their own diagnosis of drug treatment.
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Wishing you good health!