• Bárbara Juarez Amorim, Allan de Oliveira Santos, Telma Dagmar Oberg, Juliana Romanato, Dalton A Anjos, Mariana da Cunha Lopes de Lima, Celso Darío Ramos, Donizete Cesar Honorato, Edwaldo Eduardo Camargo, and Elba Cristina de Sá Camargo Etchebehere.
• Serviço de Medicina Nuclear do Departamento de Radiologia, Hospital das Clínicas, UNICAMP, Av. Zeferino Vaz, S/N - Caixa Postal 6149, 13080-000 Campinas SP - Brasil. juarezbarbara@hotmail.com
• Arq Neuropsiquiatr. 2011 Aug 1; 69 (4): 682-6.

ObjectiveDemonstrate brain perfusion changes due to neuronal activation after functional electrical stimulation (FES).MethodIt was studied 14 patients with hemiplegia who were submitted to a program with FES during fourteen weeks. Brain perfusion SPECT was performed before and after FES therapy. These patients were further separated into 2 groups according to the hemiplegia cause: cranial trauma and major vascular insults. All SPECT images were analyzed using SPM.ResultsThere was a significant statistical difference between the two groups related to patient's ages and extent of hypoperfusion in the SPECT. Patients with cranial trauma had a reduction in the hypoperfused area and patients with major vascular insult had an increase in the hypoperfused area after FES therapy.ConclusionFES therapy can result in brain perfusion improvement in patients with brain lesions due to cranial trauma but probably not in patients with major vascular insults with large infarct area.

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