Recovery from chronic diseases of consciousness: State of the art in neuromodulation for persistent vegetative state and minimally conscious state

Domenico Iacopino, Jun Zhong, Giuseppe La Rocca, Pier Paolo Mattogno, Gaetano Pappalardo, Francesco Signorelli, Gerardo Iacopino, Gaetano Pappalardo, Giuseppe Barbagallo, Massimiliano Visocchi

Research output: Chapter in Book/Report/Conference proceedingChapter

10 Citations (Scopus)

Abstract

Chronic diseases of consciousness (CDC) can still be considered a challenging frontier for modern medicine, probably because of their not completely understood physiopathological mechanisms. Following encouraging evidence on cerebral hemodynamics, some authors have hypothesized a role for neuromodulation in the treatment of CDC patients. In the past 40 years, spinal cord stimulation (SCS) and deep brain stimulation (DBS) have been used experimentally for the treatment of patients in a severe altered state of consciousness, with some interesting but not conclusive results. The present review summarizes the data currently available in the literature on this particular and debated topic. On these grounds, further clinical studies are needed to better understand the altered dynamics of neuronal network circuits in CDC patients as a step towards novel therapeutic strategies.
Original languageEnglish
Title of host publicationTrends in Reconstructive Neurosurgery: Neurorehabilitation, Restoration and Reconstruction
Pages19-25
Number of pages7
Publication statusPublished - 2017

Publication series

NameACTA NEUROCHIRURGICA. SUPPLEMENTUM

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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