Skip to main content
Top
Published in: BMC Neurology 1/2022

Open Access 01-12-2022 | Evoked Potential | Case report

Non-invasive near-infrared spectroscopy assessment of the spinal neurovascular response in a patient with transverse myelitis: a case report

Authors: Juan Esteban Oyarzún, Raúl Caulier-Cisterna, Juan Pablo González-Appelgren, Leticia Gonzalez, Oscar Trujillo, Antonio Eblen-Zajjur, Sergio Uribe

Published in: BMC Neurology | Issue 1/2022

Login to get access

Abstract

Background

Transverse myelitis (TM) is characterized by acute development of motor, sensory and autonomic dysfunctions due to horizontally diffused inflammation in one or more segments of the spinal cord in the absence of a compressive lesion. The not well-known inflammation process induces demyelination resulting in neurological dysfunction.

Case presentation

In this case report we used a functional Near-Infrared Spectroscopy (fNIRS) technique to evaluate changes in the peri-spinal vascular response induced by a peripheral median nerve electrical stimulation in a patient with chronic transverse myelitis (TM). fNIRS showed drastically reduced signal amplitude in the peri-spinal vascular response, compared to that obtained from a healthy control group throughout most of the C7-T1 and T10-L2 spinal cord segments.

Conclusion

The potential use of this relatively non-invasive fNIRS technology support the potential clinical application of this method for functional test of the spinal cord through the assessment of the spinal neurovascular response.
Literature
1.
go back to reference Lim PAC. Transverse Myelitis. Essentials of Physical Medicine and Rehabilitation. 2020:952–9. Lim PAC. Transverse Myelitis. Essentials of Physical Medicine and Rehabilitation. 2020:952–9.
2.
go back to reference Transverse myelitis consortium working G: proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology. 2002;59(4):499–505. Transverse myelitis consortium working G: proposed diagnostic criteria and nosology of acute transverse myelitis. Neurology. 2002;59(4):499–505.
3.
go back to reference Berman M, Feldman S, Alter M, Zilber N, Kahana E. Acute transverse myelitis: incidence and etiologic considerations. Neurology. 1981;31(8):966–71.CrossRef Berman M, Feldman S, Alter M, Zilber N, Kahana E. Acute transverse myelitis: incidence and etiologic considerations. Neurology. 1981;31(8):966–71.CrossRef
4.
go back to reference Misra UK, Kalita J, Kumar S. A clinical, MRI and neurophysiological study of acute transverse myelitis. J Neurol Sci. 1996;138(1–2):150–6.CrossRef Misra UK, Kalita J, Kumar S. A clinical, MRI and neurophysiological study of acute transverse myelitis. J Neurol Sci. 1996;138(1–2):150–6.CrossRef
5.
go back to reference Kalita J, Misra UK, Mandal SK. Prognostic predictors of acute transverse myelitis. Acta Neurol Scand. 1998;98(1):60–3.CrossRef Kalita J, Misra UK, Mandal SK. Prognostic predictors of acute transverse myelitis. Acta Neurol Scand. 1998;98(1):60–3.CrossRef
6.
go back to reference Rajasekaran S, Vaccaro AR, Kanna RM, Schroeder GD, Oner FC, Vialle L, et al. The value of CT and MRI in the classification and surgical decision-making among spine surgeons in thoracolumbar spinal injuries. Eur Spine J. 2017;26(5):1463–9.CrossRef Rajasekaran S, Vaccaro AR, Kanna RM, Schroeder GD, Oner FC, Vialle L, et al. The value of CT and MRI in the classification and surgical decision-making among spine surgeons in thoracolumbar spinal injuries. Eur Spine J. 2017;26(5):1463–9.CrossRef
7.
go back to reference Cruccu G, Aminoff MJ, Curio G, Guerit JM, Kakigi R, Mauguiere F, et al. Recommendations for the clinical use of somatosensory-evoked potentials. Clin Neurophysiol. 2008;119(8):1705–19.CrossRef Cruccu G, Aminoff MJ, Curio G, Guerit JM, Kakigi R, Mauguiere F, et al. Recommendations for the clinical use of somatosensory-evoked potentials. Clin Neurophysiol. 2008;119(8):1705–19.CrossRef
8.
go back to reference Heckman JD. Electrodiagnosis in diseases of nerve and muscle. Orthopedics. 1984;7(4):601–4.CrossRef Heckman JD. Electrodiagnosis in diseases of nerve and muscle. Orthopedics. 1984;7(4):601–4.CrossRef
9.
go back to reference Irani F, Platek SM, Bunce S, Ruocco AC, Chute D. Functional near infrared spectroscopy (fNIRS): an emerging neuroimaging technology with important applications for the study of brain disorders. Clin Neuropsychol. 2007;21(1):9–37.CrossRef Irani F, Platek SM, Bunce S, Ruocco AC, Chute D. Functional near infrared spectroscopy (fNIRS): an emerging neuroimaging technology with important applications for the study of brain disorders. Clin Neuropsychol. 2007;21(1):9–37.CrossRef
10.
go back to reference Boezeman RP, van Dongen EP, Morshuis WJ, Sonker U, Boezeman EH, Waanders FG, et al. Spinal near-infrared spectroscopy measurements during and after thoracoabdominal aortic aneurysm repair: a pilot study. Ann Thorac Surg. 2015;99(4):1267–74.CrossRef Boezeman RP, van Dongen EP, Morshuis WJ, Sonker U, Boezeman EH, Waanders FG, et al. Spinal near-infrared spectroscopy measurements during and after thoracoabdominal aortic aneurysm repair: a pilot study. Ann Thorac Surg. 2015;99(4):1267–74.CrossRef
11.
go back to reference Rashnavadi T, Macnab A, Cheung A, Shadgan A, Kwon BK, Shadgan B. Monitoring spinal cord hemodynamics and tissue oxygenation: a review of the literature with special focus on the near-infrared spectroscopy technique. Spinal Cord. 2019;57(8):617–25.CrossRef Rashnavadi T, Macnab A, Cheung A, Shadgan A, Kwon BK, Shadgan B. Monitoring spinal cord hemodynamics and tissue oxygenation: a review of the literature with special focus on the near-infrared spectroscopy technique. Spinal Cord. 2019;57(8):617–25.CrossRef
12.
go back to reference Filosa JA, Morrison HW, Iddings JA, Du W, Kim KJ. Beyond neurovascular coupling, role of astrocytes in the regulation of vascular tone. Neuroscience. 2016;323:96–109.CrossRef Filosa JA, Morrison HW, Iddings JA, Du W, Kim KJ. Beyond neurovascular coupling, role of astrocytes in the regulation of vascular tone. Neuroscience. 2016;323:96–109.CrossRef
13.
go back to reference Valenzuela F, Rana M, Sitaram R, Uribe S, Eblen-Zajjur A. Non-invasive functional evaluation of the human spinal cord by assessing the Peri-spinal neurovascular network with near infrared spectroscopy. IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society. 2021;29:2312–21.CrossRef Valenzuela F, Rana M, Sitaram R, Uribe S, Eblen-Zajjur A. Non-invasive functional evaluation of the human spinal cord by assessing the Peri-spinal neurovascular network with near infrared spectroscopy. IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society. 2021;29:2312–21.CrossRef
14.
go back to reference Valenzuela-Beck FI, Uribe-Arancibia SA, Eblen-Zajjur A, Sitaram R, Rana M. Device for recording the vascular response of the human spinal cord triggered by a suprasensible stimulus through the use of functional near-infrared spectroscopy. US 2021/0052172 A1. United States; 2021. Valenzuela-Beck FI, Uribe-Arancibia SA, Eblen-Zajjur A, Sitaram R, Rana M. Device for recording the vascular response of the human spinal cord triggered by a suprasensible stimulus through the use of functional near-infrared spectroscopy. US 2021/0052172 A1. United States; 2021.
15.
go back to reference Yang M, Yang Z, Yuan T, Feng W, Wang P. A systemic review of functional near-infrared spectroscopy for stroke. Current Application and Future Directions. 2019;58. Yang M, Yang Z, Yuan T, Feng W, Wang P. A systemic review of functional near-infrared spectroscopy for stroke. Current Application and Future Directions. 2019;58.
Metadata
Title
Non-invasive near-infrared spectroscopy assessment of the spinal neurovascular response in a patient with transverse myelitis: a case report
Authors
Juan Esteban Oyarzún
Raúl Caulier-Cisterna
Juan Pablo González-Appelgren
Leticia Gonzalez
Oscar Trujillo
Antonio Eblen-Zajjur
Sergio Uribe
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2022
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-022-02881-1

Other articles of this Issue 1/2022

BMC Neurology 1/2022 Go to the issue