The Autonomic Nervous System in Human SCI - Uniklinik Balgrist

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Neurorehabil Neural Repair. 2009 Jul-Aug;23(6):553-8 Sympathetic skin responses evoked by different stimuli modalities in SCI patients Kumru H, Vidal J, Perez M, Schestatsky P, Valls-Solé J. OBJECTIVE: … sympathetic skin response (SSR) in SCI METHODS: … SSR induced in the hand and foot in 50 SCI patients and 15 matched controls by deep inhalation, unexpected acoustic stimuli, brisk hand muscle contraction, and median and peroneal nerve electrical stimulation (PNS). RESULTS: SSRs to any stimulus modality were absent in hand and foot in patients with complete SCI above the T4 level. They were present in the hand and absent in the foot in complete SCI patients at levels between T4 and T11 for all stimuli modalities except PNS. CONCLUSION: SSR to various stimuli confirms the importance of supraspinal centers and the integrity of sympathetic descending pathways. Simultaneous recording of the SSR in the hands and feet provides information about the degree of sympathetic impairment possibly in the efferent pathway.
Functional SSR recordings during micturition subjective sensation first desire to void SSR hand SSR foot 1 mV EMG pelvic floor 0.1 mV 1 sec Time
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