A comprehensive
approach to neurological restoration
• 25 years after its creation,
on the initiative of Fidel, the International Center
for Neurological Restoration in Havana has
contributed to improving the quality of life of
120,000 patients from 91 countries, including Cuba
Lilliam Riera
Photos: Anabel Díaz
Mena
The International Center for
Neurological Restoration in Havana, renowned for its
comprehensive approach to rehabilitating patients
suffering from neurological injuries and disease,
prides itself on the recognition it receives from
the scientific community and patients’ appreciation
for its work over the last 25 years.
|

Work in this area is focused on
restoration of cognitive abilities which
allow for basic functional activities. |
Since its inauguration on February
26, 1989, until today, the Center has improved the
quality of life of 120,000 patients from 91
countries – 105,000 Cubans and 15,000 foreigners –
thanks to the treatments they have received, stated
Dr. Emilio Villa Acosta, president of the
Institution, in an interview with Granma.
He recalled its creation as an
initiative of the historic leader of the Cuban
Revolution, Fidel Castro, reiterating that it was
the first, and remains, the only Institution in the
world which provides an intensive restoration
program (7 days a week) designed to treat the
effects of neurodegenerative disease.
The center’s excellence is due to
its expert specialists and the dedication of all
staff - who work with multidiscipline teams under
the direction of neurological experts - to their
noble efforts in treating patients.
CIREN, linked with the Ministry of
Public Health (MINSAP), has two important treatment
programs; Neurological Restoration and General
Biological Restoration (Rebioger).
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Intensive rehabilitation therapy, of up
to seven hours daily, helps to reduce
the effects of neurodegenerative
diseases. |
The Neurological Restoration program
comprised of five specialized clinics, including one
dealing with movement disorders and
neurodegenerative diseases. Unique in the country
and one of the first to be created in the Western
Hemisphere, the clinic treats, among other
conditions, Parkinson’s, a disease which is becoming
increasingly more common due to an aging population.
Parkinson’s is incurable but manageable;
characterized by slowness of movement, rigidity,
shaking, and/or impaired speech.
The other four clinics provide
treatment for spinal and neuromuscular conditions,
brain diseases, head injuries and cerebral palsy in
infants.
The General Biological Restoration
program, designed for healthy or seemingly healthy
people over the age of 30, is working on treatments
to combat the various effects of oxidative stress,
for which CIREN has already developed a number of
products.
The use of advanced technologies and
the creation of CIREN developed products that are
available to the population through the nationl
heath system and independent purchase is another of
this prestigious center’s missions.
100% Cuban surgical technology
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The center has specially designed gyms
with modern therapeutic equipment. |
CIREN is equipped with the most
modern and accurate diagnostic technology used by
clinics and neuroscience research centers, which
currently have 100% Cuban technology, allowing for
non-invasive surgery to be conducted successfully.
The technology includes a
Stereotactic macro (Estereoflex) – developed by
CIREN and the Imunoassay Center (CIE) – which is
fitted on the patient’s head to allow the surgery to
be performed, as well as Cuban software for three
dimensional surgery, recording of neural activity
and vascular neurosurgery.
The use of this Cuban developed
technology has enabled doctors to perform surgery to
treat patients in the advanced stages of Parkinson’s
(stage 4 and 5); those with reoccurring tumors,
intracranial vascular malformations, epilepsy and
others.
Dr. Villa Acosta pointed out that,
this new technology has been used to treat 970
patients - both Cuban and from abroad - suffering
from Parkinson’s and epilepsy. She also mentioned
that the country has thirteen centers in Cienfuegos,
Villa Clara, Holguin and Santiago de Cuba, equipped
with the necessary technology, tools and personnel
to carry out the surgeries.
Innovative surgical technique to
treat Parkinson’s
It should be emphasized that this
new surgical technique is a completely Cuban
creation developed at CIREN. This global innovation,
described as selective subtalamotomy, is the first
technique of its kind developed to treat the
symptoms of Parkinson’s disease. It involves "injuring"
a neuronal structure, the sublamatic nucleus, to
reduce the effects of the illness.
In addition to using the most modern
pharmacology, CIREN also has cutting edge equipment
to treat Parkinson’s which is continually being
perfected.
The results of this new technique
and other surgeries have been published in world
renowned specialist magazines; presented at
international neurological conventions and received
well deserved recognition and collaboration from
doctors Mahlon DeLong and Jorge Junco from Emory
University in Atlanta, United States.
CIREN has, for many years, received
the support and cooperation of another renowned
professional, Dr. José A. Obeso, from the Navarra
University Clinic, Spain, the principal promoter of
an international conference of experts addressing
topics related to Parkinson’s, which has been hosted
by the Cuban institution for several years.
It also maintains strong links with
recognized experts from Mexico, Germany and the UK,
among others, as a mutually beneficial way of
sharing knowledge pertaining to the health and
wellbeing of the population, said Dr. Villa Acosta.
International collaboration projects
Dr. Villa Acosta stated that various
projects are currently being undertaken with the
collaboration of institutions and other countries,
among those mentioned was one relating to the
diagnosis and treatment of autism, with participants
from Spain, Mexico, Brazil and Argentina.
He pointed out that collaboration
continues with Mexico and Canada, on epilepsy
research, while work with the U.S., Spain, Germany
and England has focused on the use of Erythropoietin
in treating Parkinson’s, as well as new surgical
techniques.
He also commented that the
institution works closely with MINSAP’s Institute of
Hematology and Immunology and the Cuban
Neurosciences Center, which together with CIE are
managed by the biotechnological and pharmaceutical
industry group BioCubaFarma.
At the Institute of Hematology and
Immunology work is underway on neural
transplantation; using cells from the patients own
bone marrow to treat stroke victims. Since 1987
CIREN has been developing neural-transplant
techniques, while a cognitive studies laboratory was
set up in the neurology department to develop tools
and software to help restore the cognitive
capacities of patients who have suffered brain
damage.
CIREN continues to investigate and
innovate, said Dr. Villa Acosta, and many challenges
remain for specialists working at this frontier of
human knowledge.