Advanced Neuromodulation Therapy Intercostal Electrode Pacing for Restoring Neurorespiratory Function in Higher Cervical Spinal Cord Injury Cases: A Wide Range Studies Review

Pritam Majumdar, Albert J. Fenoy, Georgios Matis, David Darrow

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Spinal cord injury (SCI) is a complex and devastating condition characterized by disruption of descending, ascending, and intrinsic spinal circuitries resulting in chronic neurologic deficits. In addition to limb and trunk sensorimotor deficits, SCI also damages the autonomic neurocircuitry, including the motor networks which support respiration and cough. A high cervical SCI (for example at C2-3) can cause complete respiratory paralysis, and even lower cervical or thoracic lesions commonly result in partial respiratory impairment. Although electrical phrenic respiration can restore ventilator-independent breathing in selected candidates, only a small subset of affected individuals can benefit from this technology at this moment. The present chapter discusses the challenges and potentials of spinal cord stimulation and, more specific, of the intercostal stimulation for restoring respiratory function.

Original languageEnglish (US)
Title of host publicationThe Handbook of Neuromodulation (2 Volume Set)
Subtitle of host publicationVolme 1
PublisherNova Science Publishers, Inc.
Pages689-704
Number of pages16
Volume1
ISBN (Electronic)9781685077891
StatePublished - Jan 1 2022

Bibliographical note

Publisher Copyright:
© 2022 by Nova Science Publishers, Inc.

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