经颅直流电刺激可改善推挤现象。

Yamaguchi Takuya, Satow Takeshi, Komuro Taro, Mima Tatsuya

Department of Rehabilitation Medicine, Nagahama City Hospital, Nagahama, Japan.

Department of Neurosurgery, Nagahama City Hospital, Nagahama, Japan.

Case Rep Neurol. 2019 Feb 28;11(1):61-65. doi: 10.1159/000497284. eCollection 2019 Jan-Apr.

An 83-year-old man suffered from cerebral infarction of the right middle cerebral artery territory. In association with severe left hemiparesis and hemispatial neglect on the left side, he showed severe pusher phenomenon (PP), which made rehabilitation difficult. Transcranial direct current stimulation (tDCS) was applied to the parietal area (2 mA × 20 min/day; anode on the right and cathode on the left) for 8 days, which resulted in remarkable improvement of PP and caused prolongation of static sitting time. tDCS of the parietal area could be a novel treatment option of PP following stroke.

一名83岁男性患有右侧大脑中动脉供血区的脑梗死。伴有严重的左侧偏瘫和左侧半侧空间忽视，他表现出严重的推挤现象（PP），这使得康复变得困难。经颅直流电刺激（tDCS）应用于顶叶区域（2毫安×20分钟/天；右侧为阳极，左侧为阴极），持续8天，这导致PP显著改善，并使静态坐姿时间延长。顶叶区域的tDCS可能是中风后PP的一种新的治疗选择。