Ferrucci Roberta, Priori Alberto
Aldo Ravelli Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan Medical School, Milan, Italy; Fondazione IRCCS Ca' Granda di Milano, Milan, Italy.
Aldo Ravelli Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences, University of Milan Medical School, Milan, Italy.
Handb Clin Neurol. 2018;155:393-405. doi: 10.1016/B978-0-444-64189-2.00026-3.
The cerebellum plays a fundamental role in movement execution and motor control in humans. Because of multiple cerebellar connections and a broad variety of motor and nonmotor functions, the field of cerebellar stimulation with noninvasive techniques has gained success among researchers in the last few years. These techniques allow investigation of the neural network noninvasively, collecting more information on cerebellar physiology and pathophysiology. Several studies have highlighted the therapeutic potential of noninvasive brain stimulation (NIBS) - repetitive transcranial magnetic stimulation and transcranial direct current stimulation of the brain - in patients with neurologic diseases. More recently, NIBS has been delivered over the human cerebellum. Cerebellar NIBS has provided interesting novel data about cerebellar physiology in humans, especially in relation to its cognitive and behavioral functions. Cerebellar NIBS is also increasingly tested in patients with ataxia, dystonia, Parkinson disease, stroke, and essential tremor. NIBS is a promising approach not only to elucidate the numerous cerebellar functions, but also to improve the management of cerebellar ataxias in children and in adults.
小脑在人类运动执行和运动控制中起着重要作用。由于小脑存在多种连接以及广泛的运动和非运动功能,在过去几年中,采用非侵入性技术进行小脑刺激的领域在研究人员中取得了成功。这些技术能够以非侵入性方式研究神经网络,收集更多关于小脑生理和病理生理的信息。多项研究强调了非侵入性脑刺激(NIBS)——重复经颅磁刺激和经颅直流电刺激——在神经系统疾病患者中的治疗潜力。最近,NIBS已应用于人类小脑。小脑NIBS提供了有关人类小脑生理的有趣新数据,特别是与其认知和行为功能相关的数据。小脑NIBS也越来越多地在共济失调、肌张力障碍、帕金森病、中风和特发性震颤患者中进行测试。NIBS不仅是阐明众多小脑功能的一种有前景的方法,也是改善儿童和成人小脑共济失调管理的一种方法。