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非侵入性脑刺激在肌张力障碍中的治疗应用。

Therapeutic Use of Non-invasive Brain Stimulation in Dystonia.

作者信息

Quartarone Angelo, Rizzo Vincenzo, Terranova Carmen, Cacciola Alberto, Milardi Demetrio, Calamuneri Alessandro, Chillemi Gaetana, Girlanda Paolo

机构信息

Department of Biomedical, Dental Sciences and Morphological and Functional Images, University of MessinaMessina, Italy.

Centro Neurolesi Bonino Pulejo (IRCCS)Messina, Italy.

出版信息

Front Neurosci. 2017 Jul 25;11:423. doi: 10.3389/fnins.2017.00423. eCollection 2017.

DOI:10.3389/fnins.2017.00423
PMID:28790883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5525337/
Abstract

Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) are non-invasive methods for stimulating cortical neurons that have been increasingly used in the neurology realm and in the neurosciences applied to movement disorders. In addition, these tools have the potential to be delivered as clinically therapeutic approach. Despite several studies support this hypothesis, there are several limitations related to the extreme variability of the stimulation protocols, clinical enrolment and variability of rTMS and tDCS after effects that make clinical interpretation very difficult. Aim of the present study will be to critically discuss the state of art therapeutically applications of rTMS and tDCS in dystonia.

摘要

重复经颅磁刺激(rTMS)和经颅直流电刺激(tDCS)是刺激皮层神经元的非侵入性方法,已越来越多地应用于神经病学领域以及应用于运动障碍的神经科学中。此外,这些工具有可能作为临床治疗方法使用。尽管有几项研究支持这一假设,但由于刺激方案的极端变异性、临床入组情况以及rTMS和tDCS后效应的变异性,存在一些局限性,这使得临床解读非常困难。本研究的目的将是批判性地讨论rTMS和tDCS在肌张力障碍治疗应用方面的现状。

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本文引用的文献

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The Known and Missing Links Between the Cerebellum, Basal Ganglia, and Cerebral Cortex.小脑、基底神经节和大脑皮层之间已知和未知的联系
Cerebellum. 2017 Jun;16(3):753-755. doi: 10.1007/s12311-017-0850-0.
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Efficacy of pallidal stimulation in isolated dystonia: a systematic review and meta-analysis.苍白球刺激术治疗孤立性肌张力障碍的疗效:一项系统评价和荟萃分析。
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Differential Regulation of Human Paired Associative Stimulation-Induced and Theta-Burst Stimulation-Induced Plasticity by L-type and T-type Ca2+ Channels.L 型和 T 型钙通道对人联合配对刺激诱导和 theta 爆发刺激诱导的可塑性的差异调节。
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Role of cortico-pallidal connectivity in the pathophysiology of dystonia.皮质-苍白球连接在肌张力障碍病理生理学中的作用。
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Extensive Direct Subcortical Cerebellum-Basal Ganglia Connections in Human Brain as Revealed by Constrained Spherical Deconvolution Tractography.通过约束球面反卷积纤维束成像揭示的人脑广泛直接皮质下小脑-基底神经节连接
Front Neuroanat. 2016 Mar 18;10:29. doi: 10.3389/fnana.2016.00029. eCollection 2016.
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Gamma knife radiosurgery in movement disorders: Indications and limitations.伽玛刀放射外科治疗运动障碍:适应证与局限性
Mov Disord. 2017 Jan;32(1):28-35. doi: 10.1002/mds.26625. Epub 2016 Mar 31.
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Recovery of resting brain connectivity ensuing mild traumatic brain injury.轻度创伤性脑损伤后静息态脑连接性的恢复
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Therapeutic advances in dystonia.肌张力障碍的治疗进展。
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Forebrain deletion of the dystonia protein torsinA causes dystonic-like movements and loss of striatal cholinergic neurons.前脑缺失肌张力障碍蛋白扭转蛋白A会导致肌张力障碍样运动和纹状体胆碱能神经元丧失。
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