Effects of TENS and methylphenidate in tuberculous meningo-encephalitis

Scherder, E.J.A.; Deursen, S. Van; Manen, S. R. Van; Ferenschild, K.C.M.P.; Simis, R.; Vuyk, P. J.

doi:10.1080/02699050010007399

Cited by 1 publication

(1 citation statement)

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“…In a 9-year-old girl (Scherder, 1996) and an 11-year-old boy (Scherder et al, 2001), overall affective behaviour as well as nightly restlessness and over-activity by day decreased significantly with the use of TENS. These findings might be less surprising considering that HSE is strongly related to damage of the hippocampus and mamillary complex of the hypothalamus (Kapur et al, 1994), structures that are also affected in AD (Scheltens et al, 1992;Swaab, 2004).…”

Section: Tens In Alzheimer's Disease and Encephalitismentioning

confidence: 99%

Electrical treatment of reduced consciousness: Experience with coma and Alzheimer's disease

Cooper

Scherder

Cooper

2005

Neuropsychological Rehabilitation

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The right median nerve can be stimulated electrically to help arouse the central nervous system for persons with reduced levels of consciousness. The mechanisms of central action include increased cerebral blood flow and raised levels of dopamine. There is 11 years of experience in the USA of using nerve stimulation for acute coma after traumatic brain injury. There is a much longer period of experience by neurosurgeons in Japan with implanted electrodes on the cervical spinal cord for persons in the persistent vegetative state (PVS). But the use of right median nerve electrical stimulation (RMNS) for patients in the subacute and chronic phases of coma is relatively new. Surface electrical stimulation to treat anoxic brain injury as well as traumatic brain injury is evolving.Novel applications of electrical stimulation in Amsterdam have produced cognitive behavioural effects in persons with early and mid-stage Alzheimer's disease employing transcutaneous electrical nerve stimulation (TENS). Improvements in short-term memory and speech fluency have also been noted.Regardless of the aetiology of the coma or reduced level of awareness, electrical stimulation may serve as a catalyst to enhance central nervous system functions. It remains for the standard treatments and modalities to retrain the injured brain emerging from reduced levels of consciousness.

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Section: Tens In Alzheimer's Disease and Encephalitismentioning

confidence: 99%