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将功能成像与脑刺激结合用于帕金森病。

Combining functional imaging with brain stimulation in Parkinson's disease.

机构信息

Toronto Western Research Institute and Hospital, University Health Network, University of Toronto, Toronto, Canada.

出版信息

Int Rev Psychiatry. 2011 Oct;23(5):467-75. doi: 10.3109/09540261.2011.621414.

Abstract

Brain stimulation techniques such as deep brain stimulation (DBS) and transcranial magnetic stimulation (TMS) constitute promising clinical and research tools to investigate neural mechanisms underlying neurological and psychiatric diseases. They have enormous potential in modifying brain activity and subsequent function. However, it is still a matter of debate how either of these stimulation approaches operates to produce the clinical outcomes observed in patients. The combination of these techniques with functional neuroimaging is contributing significantly to disentangle the mechanisms through which brain stimulation affects neuronal activity and related networks. In the present review we outline the research done to date on the effects of DBS and TMS on motor, cognition and behaviour in Parkinson's disease (PD) with particular emphasis on neuroimaging.

摘要

脑刺激技术,如深部脑刺激(DBS)和经颅磁刺激(TMS),是研究神经和精神疾病神经机制的有前途的临床和研究工具。它们在改变大脑活动和随后的功能方面具有巨大的潜力。然而,这些刺激方法中的任何一种如何运作以产生在患者中观察到的临床结果,仍然是一个争论的问题。这些技术与功能神经影像学的结合,为解开脑刺激影响神经元活动和相关网络的机制做出了重大贡献。在本综述中,我们概述了迄今为止关于 DBS 和 TMS 对帕金森病(PD)运动、认知和行为影响的研究,特别强调了神经影像学。

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