Median Nerves' Electrical Activation Reduces Ipsilateral Brachial Arteries' Blood Flow and Diameter

• Published in: Annals of the Indian Academy of Neurology 2023-11, Vol.26 (6), p.883-888
• Main Authors: Ege, Fahrettin, Kazci, Ömer
• Format: Article
• Language: English
• Subjects: Analysis; Arteries; autonomous neuropathy; Blood flow; Brachial artery; Electrical stimuli; Median nerve; Neurophysiology; Original; Statistical analysis; sympathetic nervous system; Veins & arteries
• ISSN: 0972-2327; 1998-3549
• DOI: 10.4103/aian.aian_345_23

Our main objective in this study was to determine whether there is a difference between ipsilateral and contralateral brachial arteries' flow parameters in response to median nerves' electrical activation. The study was conducted in healthy and active subjects. The arterial diameter and flow were measured using the probe from the brachial artery. Then, the median nerve was stimulated for 5 seconds via the bipolar stimulus electrode. Arterial diameter and flow were measured once more with the Doppler transducer, which kept going to monitor continuously just after the fifth stimulus. After a week, the same subjects are invited for the purpose of measuring the contralateral brachial arteries' vasomotor response to the same stimulus. Before electrical stimulation, the median flow rate was 72.15 ml/min; after stimulation, the median flow rate was 39.20 ml/min. The drop in flow after stimulation was statistically significant ( < 0.001). While the median value of brachial artery vessel diameter before median nerve stimulation in the entire study group was 3.50 mm, the median value of vessel diameter after stimulation was 2.90 mm. After stimulation, the median nerve diameter narrowed statistically significantly ( < 0.001). As for the contralateral brachial in response to the right median nerves' activation, no significant flow or diameter change was found ( = 0.600, = 0.495, respectively). We discovered that electrical stimulation of the median nerve caused significant changes in ipsilateral brachial artery blood flow and diameter in healthy volunteers. The same stimulation does not result in flow parameter changes in the contralateral brachial artery.