[Results of electrostimulation of the spinal cord in Raynaud's disease and syndrome].
Out of 1,048 Raynaud patients followed for 10 years, only 7.48% underwent surgery. This fact also results from the recent utilization of high-level epidural spinal stimulation, which we perform first, before surgery, in all "critical" Raynaud patients. We treated 40 Raynaud patients with SCS and the results were always positive: excellent in 18, good in 6 and moderate in 6. Various modes of stimulation were used (continuous, intermittent, cyclical). The results were found to be better in Raynaud's disease, and to depend on the level of stimulation (excellent at T1), and on duration of the disease (clinical history of less than five years). Regular monitoring was carried out both clinically and with noninvasive and hemorheological tests. SCS appears to act like cervicothoracic surgical sympathectomy, but in contrast to the latter, it does not inhibit perspiration. Its mechanism in therefore different but the data is as yet insufficient to allow for more than personal hypotheses.
Raso
A M
AM
Institut de Médecine et Chirurgie cardiovasculaire de l'Université de Turin Italie.
D000293:Adolescent; D000328:Adult; D001132:Arm / Q000098:blood supply; D004599:Electric Stimulation Therapy; D005069:Evaluation Studies as Topic; D006801:Humans; D007866:Leg / Q000098:blood supply; D008875:Middle Aged; D011928:Raynaud Disease / Q000628:therapy*; D013116:Spinal Cord / Q000502:physiology*; D004561:Transcutaneous Electric Nerve Stimulation
Les résultats de l'électrostimulation de la moelle épinière dans la maladie et les syndromes de Raynaud.