Epidural Stimulation of the Lumbosacral Spinal Cord After Basal Ganglia Haemorrhage: A Case Study
Authors: Chua Nicholas , John Thomas , Buchser Eric 
Published: April 2023

Lumbar epidural spinal cord stimulation (SCS) was used to improve motor function in a 50-yr old patient who suffered hemiparesis due to a basal ganglia haemorrhagic stroke. Spinal cord stimulation targeted at the dorsal root afferent fibres at the conus improved the tonic control of the muscles at the knee and ankle joints. This allowed the patient better left knee and foot motor control. The improvement was documented initially during ambulation on a treadmill using decreasing body weight support and subsequently when using walking aids. Our observation is consistent with previous human data suggesting that in humans with brain lesions, the stimulation of preserved neural circuitry can increase spontaneous muscle tone in affected muscles and improve locomotion. Article Details How to Cite CHUA, Nicholas HL; JOHN, Thomas; BUCHSER, Eric. Epidural Stimulation of the Lumbosacral Spinal Cord After Basal Ganglia Haemorrhage: A Case Study. Medical Research Archives, [S.l.], v. 11, n. 3, mar. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3689>. Date accessed: 03 apr. 2023. doi: https://doi.org/10.18103/mra.v11i3.3689. ABNT APA BibTeX CBE EndNote - EndNote format (Macintosh & Windows) MLA ProCite - RIS format (Macintosh & Windows) RefWorks Reference Manager - RIS format (Windows only) Turabian Issue Vol 11 No 3 (2023): March issue, Volume 11, Issue 3 Section Research Articles The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives. References References: 1 Rathor, M. Y. et al. Prediction of functional outcome in patients with primary intracerebral hemorrhage by clinicalcomputed tomographic correlations. 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Spinal cord stimulation targeted at the dorsal root afferent fibres at the conus improved the tonic control of the muscles at the knee and ankle joints. This allowed the patient better left knee and foot motor control. The improvement was documented initially during ambulation on a treadmill using decreasing body weight support and subsequently when using walking aids. Our observation is consistent with previous human data suggesting that in humans with brain lesions, the stimulation of preserved neural circuitry can increase spontaneous muscle tone in affected muscles and improve locomotion. (2008).