Enhancement of cerebral blood flow by electrical nerve stimulation
A method for increasing cerebral blood flow in a patient. A electrical stimulating device is provided. The electrical stimulating device is applied to the patient at a region adjacent the cervical sympathetic chain, the brain stem, the head, or the sympathetic nervous system. The electrical stimulating device is applied by any route selected from transcutaneous, subcutaneous, and subarachnoid. The electrical stimulating device is activated to stimulate or inhibit nerve impulses of the cervical sympathetic chain, thereby producing vasodilation in the cerebral vasculature, thereby increasing cerebral blood flow. Devices for increasing cerebral blood flow in a patient are also described.
1. A method for increasing cerebral blood flow in a patient, comprising the steps of:
providing an elongate member having a proximal end, a distal end, and an electrical stimulating device mounted on the distal end of the elongate member;
inserting the elongate member between lumbar vertebrae, low cervical vertebrae, or high thoracic vertebrae into the subarachnoid space;
advancing the electrical stimulating device cephalad and positioning the electrical stimulating device adjacent the brain stem;
measuring cerebral blood flow;
operating the electrical stimulating device to stimulate or inhibit nerve impulses of the brain stem, thereby producing vasodilation in the cerebral vasculature, thereby increasing cerebral blood flow; and
measuring cerebral blood flow after the step of operating the electrical stimulating device.
2. The method of claim 1 , further comprising the step of determining the increase in cerebral blood flow produced by operating the electrical stimulating device.
3. The method of claim 1 , wherein the electrical stimulating device is positioned at a region adjacent the medulla.
4. The method of claim 1 , wherein the electrical stimulating device is a GRASS stimulator.
5. The method of claim 1 , wherein the electrical stimulating device is operated to produce electrical stimulation comprising a rectangular square pulse.
6. The method of claim 1 , wherein the electrical stimulating device is operated to produce electrical stimulation comprising a pulse of 1 msec duration, 50 Hz, and 10 volts, with a stimulus train duration of 20 msec.
7. The method of claim 1 , wherein the electrical stimulating device is operated to produce electrical stimulation comprising a pulse of 0.1-3 msec duration, 25-75 Hz, and 5-15 volts, with a stimulus train duration of 10-30 msec.