title: Reappearance of sympathetic skin response below a thoracic level-9 complete spinal cord injury.
abstract: Reappearance of sympathetic skin response (SSR) below lesion is reported in a patient with a complete thoracic-9 spinal cord injury 6 months following injury. SSR was elicited by electrical stimulation of supraorbital nerve (SON) and pudendal nerve (PN). SON stimulation induced SSRs only in the hand. SSRs were initially absent below the level of SCI but reappeared only with PN stimulation. This case suggests that 6 months following a complete lesion, the isolated spinal cord can generate a SSR. Possible underlying mechanisms and implications for autonomic plasticity below spinal lesion are discussed in view of the literature.
authors.affiliation: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Barcelona, Spain; Univ Autonoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain. Electronic address: hkumru@guttmann.com.
authors.forename: Hatice
authors.initials: H
authors.lastname: Kumru
authors.affiliation: Spinal Cord Injury Center, University Hospital Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland.
authors.forename: Martin
authors.initials: M
authors.lastname: Schubert
authors.affiliation: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Barcelona, Spain; Univ Autonoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.
authors.forename: Jesus
authors.initials: J
authors.lastname: Benito
authors.affiliation: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Barcelona, Spain; Univ Autonoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.
authors.forename: Eloy
authors.initials: E
authors.lastname: Opisso
authors.affiliation: Institut Guttmann, Institut Universitari de Neurorehabilitació adscrit a la UAB, 08916 Badalona, Barcelona, Spain; Univ Autonoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Spain; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, Spain.
authors.forename: Joan
authors.initials: J
authors.lastname: Vidal
mesh_terms: D004558:Electric Stimulation; D019054:Evoked Potentials, Motor; D005073:Evoked Potentials, Somatosensory; D005528:Foot / Q000294:innervation; D005712:Galvanic Skin Response; D006225:Hand / Q000294:innervation; D006801:Humans; D008297:Male; D010502:Perineum / Q000503:physiopathology; D060525:Pudendal Nerve / Q000502:physiology; D020127:Recovery of Function; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D013904:Thoracic Vertebrae; D013979:Tibial Nerve / Q000502:physiology; D013997:Time Factors; D055815:Young Adult
keywords: Below lesion; Complete SCI; Sympathetic skin response