Myelin and Axon Degeneration following Direct Current Peripheral Nerve Stimulation: A Prospective Controlled Experimental Study

Author:

Hughes Gordon B.1,Bottomy Michael B.2,Jackson C. Gary2,Glasscock Michael E.2,Sismanis Aristides3

Affiliation:

1. Cleveland, Ohio

2. Nashville, Tennessee

3. Richmond, Virginia

Abstract

A previous study by the authors compared pathologic changes in the mouse sciatic nerve following prolonged continuous stimulation with either pulsed or direct current. The pulsed current stimulator was found as equally effective yet far safer than the direct current (DC) stimulator. In an attempt to reproduce more accurately the clinical setting, the Ear, Nose, and Throat Device Classification Panel of the Food and Drug Administration requested a prospective, controlled study of repeated DC stimulation at one or more sites along a peripheral motor nerve. Again, repetitive DC stimulation both at one site and at multiple sites of the same nerve produced significant myelin and axon degeneration. The authors conclude that even routine use of the DC stimulator carries with it the potential for permanent nerve damage and muscle paralysis.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

Reference5 articles.

1. A comparative study of neuropathologic changes following pulsed and direct current stimulation of the mouse sciatic nerve

2. FACIAL NERVE FUNCTION IN 100 CONSECUTIVE PAROTIDECTOMIES

3. Hambrecht FT: Tissue toxicity of electrical stimulating devices having a direct current component. Presented at the Twenty-first Meeting of the Ear, Nose and Throat Device Classification Panel, Bureau of Medical Devices, Food and Drug Administration, Washington, DC, 1980.

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