Limits of normal nerve function during high-frequency stimulation

Abstract

We studied the effects of prolonged high-frequency stimulation in normal rat tail nerves. Nerves could conduct impulses at 50 Hz for 5 hours without complete conduction block. However, over time there was a significant decrease in amplitude and increase in latency of the compound nerve action potential (CNAP), which gradually became desynchronized. Changes were influenced by the frequency of stimulation. When stimulating over 30 minutes at 20, 50, 100, and 143 Hz the amplitude decreased to 89%, 79%, 67%, and 65% of baseline values, respectively, whereas the latency was only significantly increased at 100 and 143 Hz. All changes were reversible upon cessation of stimulation. Changes could not be attributed to focal block at the site of stimulation. These changes in the CNAP may reflect functional limitations of the axon membrane which may have pathophysiological implications for the study of neuropathies and focal nerve lesions.