Abstract

  Duchenne Muscular Dystrophy (DMD) is a slow, progressive and fatal X-linked neuromuscular disorder due to loss of dystrophin that links the contractile apparatus to the sarcolemma via the dystrophin-associated protein complex (DPC).

  The NOD (Nitric Oxide Donor) causes release of Nitric Oxide (NO) by nitric oxide synthase (NOS) and then via 10,000-fold effect NOR (Nitric Oxide Receptor) it acts to release cGMP thus modulates DPC and improves the skeleton muscle functionality.

  We have used intrathecal sodium nitroprusside to activate the 10000-fold effect to modulate the retrograde neuroregulation in DMD (diagnosed by muscle biopsy) and oral Tadalafil as NODs and well checked by AL-TENS (acupuncture like transepidermal neural stimulation) in pre ITSNP and post ITSNP phase.

Keywords: Duchenne Muscular Dystrophy (DMD); 10000-fold Effect; Intrathecal Sodium Nitroprusside; Oral Tadalafil

References

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Citation

Citation: Vinod Kumar Tewari., et al. “10,000-fold Effect by a Nitric Oxide Donor (Sodium Nitroprusside) in Duchenne Muscular Dystrophy (DMD) Via Intrathecal Superfusion and Oral Tadalafil - A Case Report".Acta Scientific Neurology 3.9 (2020): 95-98.

Copyright

Copyright: © 2020 Vinod Kumar Tewari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.