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非侵入性脑刺激在神经疾病中的应用。

Non-invasive brain stimulation in neurological diseases.

机构信息

Brain Imaging and Neurostimulation (BINS) Laboratory, Department of Neurology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.

出版信息

Neuropharmacology. 2013 Jan;64:579-87. doi: 10.1016/j.neuropharm.2012.05.016. Epub 2012 Jun 9.

Abstract

Non-invasive brain stimulation has shown its potential to modulate brain plasticity in humans. Endeavour has been made to utilize brain stimulation in neurological diseases to enhance adaptive processes and prevent potential maladaptive ones. In stroke for instance both sensorimotor and higher cognitive impairment, such as aphasia and neglect, has been addressed to facilitate functional recovery. In Parkinson's disease, brain stimulation has been evaluated to improve motor and non-motor symptoms. In the present review we provide an update of the field of transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS) as non-invasive brain stimulation techniques to improve motor and higher cognitive functions in patients suffering from stroke and Parkinson's disease. Rather than attempting to be comprehensive in regard of the reviewed scientific field, this article may be considered as a present day's framework of the application of non-invasive brain stimulation on selected examples of common neurological diseases. At the end we will briefly discuss open controversies and future directions of the field which has to be addressed in upcoming studies. This article is part of a Special Issue entitled 'Cognitive Enhancers'.

摘要

非侵入性脑刺激已显示出其在人类大脑可塑性调节方面的潜力。人们一直在努力利用脑刺激来治疗神经疾病,以增强适应性过程并预防潜在的不良适应。例如,在中风中,已经针对运动和更高认知功能障碍(如失语症和忽视症)进行了脑刺激,以促进功能恢复。在帕金森病中,已经评估了脑刺激以改善运动和非运动症状。在本综述中,我们提供了经颅磁刺激(TMS)和经颅直流电刺激(tDCS)作为非侵入性脑刺激技术的最新进展,这些技术可改善中风和帕金森病患者的运动和更高认知功能。本文并非全面回顾该科学领域,而可被视为选定常见神经疾病应用非侵入性脑刺激的现状框架。最后,我们将简要讨论该领域的一些开放性争议和未来方向,这是未来研究中需要解决的问题。本文是特刊“认知增强剂”的一部分。

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