paralyzed man walks after new treatment

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dragon
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paralyzed man walks after new treatment

Post by dragon »

very nice
A paralysed man has been able to walk again after a pioneering therapy that involved transplanting cells from his nasal cavity into his spinal cord.

Darek Fidyka, who was paralysed from the chest down in a knife attack in 2010, can now walk using a frame.

The treatment, a world first, was carried out by surgeons in Poland in collaboration with scientists in London.
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I have waited 40 years for something like this”

Prof Wagih El Masri Consultant spinal injuries surgeon

Details of the research are published in the journal Cell Transplantation.

BBC One's Panorama programme had unique access to the project and spent a year charting the patient's rehabilitation.

Darek Fidyka, 40, from Poland, was paralysed after being stabbed repeatedly in the back in the 2010 attack.

He said walking again - with the support of a frame - was "an incredible feeling", adding: "When you can't feel almost half your body, you are helpless, but when it starts coming back it's like you were born again."

Prof Geoff Raisman, chair of neural regeneration at University College London's Institute of Neurology, led the UK research team.

He said what had been achieved was "more impressive than man walking on the moon".

UK research team leader Prof Geoff Raisman: Paralysis treatment "has vast potential"

The treatment used olfactory ensheathing cells (OECs) - specialist cells that form part of the sense of smell.

OECs act as pathway cells that enable nerve fibres in the olfactory system to be continually renewed.

In the first of two operations, surgeons removed one of the patient's olfactory bulbs and grew the cells in culture.

Two weeks later they transplanted the OECs into the spinal cord, which had been cut through in the knife attack apart from a thin strip of scar tissue on the right. They had just a drop of material to work with - about 500,000 cells.

About 100 micro-injections of OECs were made above and below the injury.

Four thin strips of nerve tissue were taken from the patient's ankle and placed across an 8mm (0.3in) gap on the left side of the cord.

The scientists believe the OECs provided a pathway to enable fibres above and below the injury to reconnect, using the nerve grafts to bridge the gap in the cord.


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Zeropoint
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Re: paralyzed man walks after new treatment

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Who makes the lame to walk and the blind to see?

We do.
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Re: paralyzed man walks after new treatment

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Removed an olfactory bulb eh? So he traded some of his sense of smell to walk again. A good bargain, IMO.
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Re: paralyzed man walks after new treatment

Post by Reaver225 »

Borgholio wrote:Removed an olfactory bulb eh? So he traded some of his sense of smell to walk again. A good bargain, IMO.
I'd expect future treatments should mean only a sample of tissue might need to be taken from the olfactory bulb; if they're growing a culture from it they probably don't need all of it.

It seems to grow back anyway?

Either way, it's very good news.
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Re: paralyzed man walks after new treatment

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Promising but regenerating nerves is apparently something very individual.
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Re: paralyzed man walks after new treatment

Post by Simon_Jester »

Do you mean as in, it only works on a specific subset of individuals? Or do you mean as in, it requires careful customization of the treatment to fit a given patient?
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Re: paralyzed man walks after new treatment

Post by Broomstick »

Borgholio wrote:Removed an olfactory bulb eh? So he traded some of his sense of smell to walk again. A good bargain, IMO.
You have two of those, so he probably does retain a sense of smell.

This has yet to be replicated, which it needs to be to as the next step in developing treatment.
Simon_Jester wrote:Do you mean as in, it only works on a specific subset of individuals? Or do you mean as in, it requires careful customization of the treatment to fit a given patient?
It's a bit early to know how broadly this treatment can be applied.

It also requires cultivation of an individual's own cells, which means custom making each application of cells rather than mass-producing them. That is expensive and time-consuming.

Even so, this is fantastic news. Restoring even partial function can make a huge difference in a person's life.
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Re: paralyzed man walks after new treatment

Post by Simon_Jester »

"Time consuming" is not a big problem with a treatment for spinal injuries, since they're not life-threatening in and of themselves.

"Expensive..." is. I wonder to what extent the costs of doing this would be reduced by having a facility that does only this, cultivating the nerve cells in culture.
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