Первый отечественный опыт успешного применения постоянной нейростимуляции спинного мозга в комплексном лечении пациентки с перманентной формой фибрилляции предсердий и спинальным стенозом

В статье впервые в отечественной литературе описан клинический случай лечебного действия нейромодуляции на перманентную форму фибрилляции предсердий и хроническую сердечную недостаточность у пожилой пациентки со спинальным стенозом, приведшим к развитию болевого синдрома и двигательным расстройствам. Для лечения неврологической патологии были применены последовательно эпидуральное введение лекарственных препаратов, а затем тестовая и постоянная стимуляция спинного мозга. На каждом из этапов лечения у функционального нейрохирурга у пациентки отмечалось спонтанное восстановление синусового ритма, а на фоне постоянной нейростимуляции – стабильное удержание синусового ритма и регресс симптомов сердечной недостаточности в течение длительного времени наблюдения. В статье приведены данные немногих экспериментальных и клинических исследований применения нейромодуляции в кардиологии, описана методика имплантации спинальных электродов и проанализированы возможные механизмы модуляции вегетативной иннервации сердца, реализованные посредством стимуляции спинного мозга.

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