Department of Neurological Surgery, Loyola University Medical Center, 2150 South 1st Avenue, Room 2700, Maywood, IL 60153, USA.
Neurol Clin. 2013 Aug;31(3):809-26. doi: 10.1016/j.ncl.2013.03.008. Epub 2013 Apr 6.
This article focuses on the evolution of deep brain stimulation (DBS) targets within the brain, beginning with the discovery of DBS's potential in non-Parkinson disease movement disorders. DBS has gained in popularity and applicability for a growing number of neuropathologic conditions with neural network disorders and dysfunction. Targets within the brain have been based frequently on historical sites used for ablative surgeries in years past, derived from experiment and experience but also have arisen via elucidation of neural networks, transmitter function and location, disease neuropathology, and also, fortuitous discovery.
本文重点介绍大脑内深部脑刺激(DBS)靶点的演变,从 DBS 在非帕金森病运动障碍中的潜在应用开始。随着越来越多的神经病理疾病出现神经网络紊乱和功能障碍,DBS 的应用也越来越广泛。大脑内的靶点通常基于过去用于消融手术的历史靶点,这些靶点源自于实验和经验,但也通过阐明神经网络、递质功能和位置、疾病神经病理学,以及偶然的发现而产生。