Suchorska Bogdana, Ruge Maximilian I
Department of Neurosurgery, University Hospital Munich, 81377 Munich, Germany.
Department of Functional Neurosurgery and Stereotaxie, Center for Neurosurgery, University Hospital Cologne, Cologne, Germany.
Discov Med. 2015 Dec;20(112):403-11.
Deep Brain Stimulation (DBS) has proven to be an effective and minimally invasive surgical treatment for a variety of neurological and psychiatric diseases such as Parkinson's Disease, essential tremor, dystonia, Tourette's Syndrome and depression. In contrast to early surgical lesioning procedures, DBS has a considerably lower side-effect rate and is usually reversible. Common targets include nuclei involved in the basal ganglia circuitry as well as its efferent and afferent pathways such as the subthalamic nucleus (STN), the globus pallidus internus (GPi) or the ventral striatal region. Despite the increasing application of DBS, the exact mechanism of action is still matter of debates. Current trials focus on establishing alternative targets, exploring new indications as well as on capturing cortical responses during DBS in order to improve individual stimulation parameters.
深部脑刺激(DBS)已被证明是一种有效且微创的外科治疗方法,可用于治疗多种神经和精神疾病,如帕金森病、特发性震颤、肌张力障碍、妥瑞氏综合征和抑郁症。与早期的手术损伤程序相比,DBS的副作用发生率要低得多,而且通常是可逆的。常见的靶点包括参与基底神经节回路及其传出和传入通路的核团,如丘脑底核(STN)、苍白球内侧核(GPi)或腹侧纹状体区域。尽管DBS的应用越来越广泛,但其确切的作用机制仍存在争议。目前的试验集中在确定替代靶点、探索新的适应症以及捕捉DBS期间的皮层反应,以改善个体刺激参数。
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