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Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients

Study design: A prospective, non-randomized clinical series trial. Objective: To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs). Setting: A public tertiary hospital i...

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Published in:Spinal cord 2009-10, Vol.47 (10), p.733-738
Main Authors: Cristante, A F, Barros-Filho, T E P, Tatsui, N, Mendrone, A, Caldas, J G, Camargo, A, Alexandre, A, J Teixeira, W G, Oliveira, R P, Marcon, R M
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container_title Spinal cord
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creator Cristante, A F
Barros-Filho, T E P
Tatsui, N
Mendrone, A
Caldas, J G
Camargo, A
Alexandre, A
J Teixeira, W G
Oliveira, R P
Marcon, R M
description Study design: A prospective, non-randomized clinical series trial. Objective: To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs). Setting: A public tertiary hospital in São Paulo, Brazil. Methods: Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion. Results: Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up. Conclusion: The 2.5-year trial protocol proved to be safe and improved SSEPs in patients with complete SCI. Sponsorship: None.
doi_str_mv 10.1038/sc.2009.24
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Objective: To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs). Setting: A public tertiary hospital in São Paulo, Brazil. Methods: Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion. Results: Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up. 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Diseases due to physical agents ; Male ; Medical sciences ; Nerve Regeneration - physiology ; Nervous system (semeiology, syndromes) ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Peripheral Blood Stem Cell Transplantation - methods ; Prospective Studies ; Recovery of Function - physiology ; Somatosensory Cortex - physiology ; Spinal Cord Injuries - diagnosis ; Spinal Cord Injuries - physiopathology ; Spinal Cord Injuries - surgery ; Stem Cells - cytology ; Stem Cells - physiology ; Traumas. 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Objective: To evaluate the effect of autogenous undifferentiated stem cell infusion for the treatment of patients with chronic spinal cord injury (SCI) on somatosensory evoked potentials (SSEPs). Setting: A public tertiary hospital in São Paulo, Brazil. Methods: Thirty-nine consecutive patients with diagnosed complete cervical and thoracic SCI for at least 2 years and with no cortical response in the SSEP study of the lower limbs were included in the trial. The trial patients underwent peripheral blood stem cell mobilization and collection. The stem cell concentrate was cryopreserved and reinfused through arteriography into the donor patient. The patients were followed up for 2.5 years and submitted to SSEP studies to evaluate the improvement in SSEPs after undifferentiated cell infusion. Results: Twenty-six (66.7%) patients showed recovery of somatosensory evoked response to peripheral stimuli after 2.5 years of follow-up. 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subjects Afferent Pathways - physiology
Anatomy
Biological and medical sciences
Biomarkers
Biomedical and Life Sciences
Biomedicine
Cell Separation - methods
Cerebrospinal fluid. Meninges. Spinal cord
Electrodiagnosis - methods
Electrophysiology
Evoked Potentials, Somatosensory - physiology
Female
Human Physiology
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Nerve Regeneration - physiology
Nervous system (semeiology, syndromes)
Neurochemistry
Neurology
Neuropsychology
Neurosciences
original-article
Peripheral Blood Stem Cell Transplantation - methods
Prospective Studies
Recovery of Function - physiology
Somatosensory Cortex - physiology
Spinal Cord Injuries - diagnosis
Spinal Cord Injuries - physiopathology
Spinal Cord Injuries - surgery
Stem Cells - cytology
Stem Cells - physiology
Traumas. Diseases due to physical agents
Treatment Outcome
title Stem cells in the treatment of chronic spinal cord injury: evaluation of somatosensitive evoked potentials in 39 patients
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