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"Functional polarity" of the spinal cord caused by its longitudinal electric dipole moment.

Specific reactions of the vertebrates that occur through lengthwise application of direct-current (DC) electric fields in the spinal cord and are dependent on the direction of the current (e.g., electric narcosis and electric excitation) can be explained by the existence of a longitudinal dipole moment in the spinal cord. The relationship between "functional polarity of the spinal cord" and its longitudinal dipole moment was established in two different experimental series. 1) Reactions of functional polarity were quantitatively tested on Amphioxus (lancelet) and on numerous Teleostei. On this point the findings of other researchers were confirmed and complemented. 2) Fresh, almost-live spinal cord preparations (cow) were quantitatively tested using pyroelectric (PE) methods. A longitudinal electric dipole moment was demonstrated along the entire length of the white matter. Moreover fresh spinal cord preparations showed a polar orientation on sudden temperature change in a high-voltage DC field. The PE behavior showed a pronounced electric field dependence. Because the white matter is largely composed of longitudinally arranged nerve fibers, individual axons may also have a longitudinal electric dipole moment. Consequently one might expect the following: polar orientation of the growing neurite by an applied DC field, an electric dipole field inside and outside the axon, and a transport of charge carriers along the lines of flux of this dipole field. Moreover PE and piezoelectric (PZE) properties of the neuron should be provable.

Animals↗

Treatment of methadone withdrawal with cerebral electrotherapy (electrosleep).

The use of cerebral electrotherapy (CET) in methadone detoxification was studied in 28 patients. Fourteen patients received active CET; the other 14 acted as controls and received either stimulated CET or only methadone detoxification therapy. One patient dropped out of the study. The Taylor Manifest Anxiety Scale and the Hamilton Anxiety Scale were administered before and after the study period. Nine of the patients receiving active CET were drug-free by the end of 8 to 10 days, and all experienced a marked reduction of their symptoms; the control group did not show significant changes. CET was clearly beneficial in the treatment of patients undergoing methadone withdrawal.

Adolescent↗

Electroanesthesia (EA) studies: EA produced by stimulation of sensory nerves of the scalp in Rhesus monkeys.

After it was learned that electroanesthesia (EA) could not be produced in a Rhesus monkey which had undergone a circumferential scalp block with 0.25% lidocaine, it was postulated that EA could be produced by electrostimulation of the sensory nerves of the scalp in the rhesus. The work reported here verifies that EA can be produced by this method in this species; it is not necessary to pass current through the head.

Animals↗

Psychological factors and outcome of electrode implantation for chronic pain.

The utility of using psychological assessments as a basis for predicting pain relief after electrode implantation is examined. Two raters independently reviewed the functional pain protocols of chronic pain patients who were candidates for deep brain (n = 13) or spinal cord (n = 17) electrode implants and predicted whether each would have a good or poor treatment response. At follow-up, five deep brain (39%) and four spinal cord (24%) patients were classified as having good responses to treatment. Predictions of outcome based on psychological data were accurate for 80% of the patients. These results suggest that functional pain assessment is useful as a part of preimplantation screening and emphasize the importance of psychological factors in the outcome of treatment for chronic pain.

Electrodes, Implanted↗

Treatment of chronic pain by deep brain stimulation: long term follow-up and review of the literature.

Since the senior author's (J.E.A.) first report in 1972 of the use of deep brain stimulation (DBS) to control chronic pain, electrodes for DBS have been implanted in 141 patients. Of reported series, this one has the largest number of patients and the longest period of follow-up. The mean age of patients in this study was 51.2 years. The mean length of follow-up was 80 months. Patients had experienced pain for a mean period of 65 months before DBS was attempted; all patients had exhausted other medical and surgical therapies. For the purposes of this study, pain states were characterized as being either nociceptive or deafferentation in nature. Nociceptive pain was treated primarily by stimulation of the periaqueductal or periventricular gray, and deafferentation pain was treated primarily by stimulation of the sensory thalamus. Eighty-four patients were treated for deafferentation pain, which included the thalamic pain syndrome (25 cases), peripheral neuropathic pain (16 cases), anesthesia dolorosa (12 cases), paraplegia pain (11 cases), postcordotomy dyesthesia (5 cases), phantom limb pain (5 cases), thoracic neuralgia (4 cases), and miscellaneous pain states (6 cases). We treated 57 patients with nociceptive pain states, 51 for low back and skeletal pain and 6 for pain from the invasion of cancer. Initial relief of pain was obtained by 83 patients (59%). After the mean follow-up period of 80 months, 42 patients (31%) continued to obtain significant pain relief with DBS. Some pain states, particularly anesthesia dolorosa and paraplegia pain, did not seem to respond to DBS. Major complications of therapy included wound infection (12%) and intracranial hemorrhage (3.5%); there was one death in the series (0.7%).(ABSTRACT TRUNCATED AT 250 WORDS)

Brain↗

The influence of low frequency acupuncture on a demand pacemaker.

Various complications with demand pacemakers have been known to originate from their own sensing mechanisms. In these complications, electromagnetic interference is one of the well known causes of oversensing with demand pacemakers. The influence of low frequency acupuncture as a specific type of electromagnetic interference on a demand pacemaker was examined during a cervical operation. It was found that low frequency acupuncture is a cause of electromagnetic interference with demand pacemakers. Therefore, caution should be exercised when using the low frequency acupuncture on a pacemaker patient.

Acupuncture Therapy↗

An evaluation of an electroanesthetic device.

An electroanesthetic device exported from the Soviet Union was tested for its usefulness in controlling pain during tooth cutting procedures. Indexes to measure patient anxiety levels and predicted pain perception were designed, and their validity was tested. For the study, 170 patients were separated into subgroups who knew that an electroanesthetic device was being tested and those who did not. Results showed a greater pain reduction for those procedures that usually elict high pain levels and little benefit of anesthesia for procedures with low pain levels. The responses of the subgroup of persons who know the purpose of the device were higher than average for all pain levels.

Anxiety↗