Cervical spinal cord stimulation for upper limb spasticity following bilateral basal ganglia infarction

doi:10.3877/cma.j.issn.2095-123X.2025.01.010

Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition) ›› 2025, Vol. 15 ›› Issue (01): 55-57. doi: 10.3877/cma.j.issn.2095-123X.2025.01.010

• Case Reports • Previous Articles Next Articles

Cervical spinal cord stimulation for upper limb spasticity following bilateral basal ganglia infarction

Qi Wang, Wenqiang Yang, Aimin Li, Rigela Ao, Yulian Zhang, Yanbing Yu, Li Zhang^†()

Received:2025-01-08 Online:2025-02-15 Published:2025-04-15
Contact: Li Zhang

Abstract

Qi Wang, Wenqiang Yang, Aimin Li, Rigela Ao, Yulian Zhang, Yanbing Yu, Li Zhang. Cervical spinal cord stimulation for upper limb spasticity following bilateral basal ganglia infarction[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2025, 15(01): 55-57.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhnkjbykfzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-123X.2025.01.010

https://zhnkjbykfzz.cma-cmc.com.cn/EN/Y2025/V15/I01/55

Figures/Tables 4

Fig.1 Preoperative brain MRI data of the patient with upper limb spasticity following bilateral basal ganglia infarction；

指标	术前	术后10 d	术后1年
MAS（级）
左肩关节	2	1+	1+
左肘关节	2	2	1+
左腕关节	3	2	2
右肩关节	4	3	2
右肘关节	4	3	3
右腕关节	4	3	3
FMA-UE（分）
左上肢	26	33	36
右上肢	10	19	21

Fig.2 X-ray data of cervical spine re-examination of the patient with upper limb spasticity following bilateral basal ganglia infarction on the 3^rd day after SCS surgery

Fig.3 Imaging data of limbs of the patient with upper limb spasticity following bilateral basal ganglia infarction before and on the 10^th day after SCS surgery

References 10

［1］	《中国卒中中心报告2022》编写组. 《中国卒中中心报告2022》概要［J］. 中国脑血管病杂志， 2024， 21（8）： 565-576. DOI： 10.3969/j.issn.1672-5921.2024.08.009.Report on Stroke Prevention and Treatment in China Writing Group. Brief report on Stroke Center in China， 2022［J］. Chin J Cerebr Dis， 2024， 21（8）： 565-576. DOI： 10.3969/j.issn.1672-5921.2024.08.009.
［2］	Mayorova L， Radutnaya M， Varyukhina M， et al. Immediate effects of anti-spastic epidural cervical spinal cord stimulation on functional connectivity of the central motor system in patients with stroke- and traumatic brain injury-induced spasticity： a pilot resting-state functional magnetic resonance imaging study［J］.Biomedicines， 2023， 11（8）： 2266. DOI： 10.3390/biomedicines 11082266.
［3］	Bavikatte G， Subramanian G， Ashford S， et al. Early identification，intervention and management of post-stroke spasticity： expert consensus recommendations［J］. J Cent Nerv Syst Dis， 2021， 13：11795735211036576. DOI： 10.1177/11795735211036576.
［4］	陈靖，刘天奇，王莉莉，等. 体外冲击波治疗脑卒中后肌痉挛的Meta分析［J］. 中华脑科疾病与康复杂志电子版， 2024， 14（6）：334-340. DOI： 10.3877/cma.j.issn.2095-123X.2024.06.003.Chen J， Liu TQ， Wang LL， et al. Extracorporeal shock wave therapy for muscle spasm after stroke： a meta-analysis［J］. Chin J Brain Dis Rehabil （Electronic Edition）， 2024， 14（6）： 334-340. DOI：10.3877/cma.j.issn.2095-123X.2024.06.003.
［5］	Rock AK， Truong H， Park YL， et al. Spinal cord stimulation［J］.Neurosurg Clin N Am， 2019， 30（2）： 169-194. DOI： 10.1016/j.nec.2018.12.003.
［6］	Cook AW， Weinstein SP. Chronic dorsal column stimulation in multiple sclerosis. Preliminary report［J］. N Y State J Med， 1973，73（24）： 2868-2872.
［7］	Nagel SJ， Wilson S， Johnson MD， et al. Spinal cord stimulation for spasticity： historical approaches， current status， and future directions［J］. Neuromodulation， 2017， 20（4）： 307-321. DOI： 10. 1111/ner.12591.
［8］	Dekopov AV， Shabalov VA， Tomsky AA， et al. Chronic spinal cord stimulation in the treatment of cerebral and spinal spasticity［J］. Stereotact Funct Neurosurg， 2015， 93（2）： 133-139. DOI： 10.1159/000368905.
［9］	Powell MP， Verma N， Sorensen E， et al. Epidural stimulation of the cervical spinal cord for post-stroke upper-limb paresis［J］. Nat Med， 2023， 29（3）： 689-699. DOI： 10.1038/s41591-022-02202-6.
［10］	Visocchi M， Cioni B， Pentimalli L， et al. Increase of cerebral blood flow and improvement of brain motor control following spinal cord stimulation in ischemic spastic hemiparesis［J］. Stereotact Funct Neurosurg， 1994， 62（1-4）： 103-107. DOI： 10. 1159/000098604.

Please choose a citation manager

Content to export

Cervical spinal cord stimulation for upper limb spasticity following bilateral basal ganglia infarction

RichHTML

PDF (PC)

Knowledge