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深部脑刺激:历史、方法及未来发展概述

Deep brain stimulation: An overview of history, methods, and future developments.

作者信息

Pycroft Laurie, Stein John, Aziz Tipu

机构信息

Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.

Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK.

出版信息

Brain Neurosci Adv. 2018 Dec 12;2:2398212818816017. doi: 10.1177/2398212818816017. eCollection 2018 Jan-Dec.

Abstract

Deep brain stimulation has already revolutionised the clinical management of treatment-resistant movement disorders and offers novel treatment options for an increasing range of neurological and psychiatric illnesses. In this article, we briefly review the history of deep brain stimulation, particularly focusing on the last 50 years, which have seen rapid development in the safety and efficacy of deep brain stimulation. We then discuss the current state of the art in deep brain stimulation, focusing on emerging indications and recent technological advances that have improved the field. Finally, we consider the future developments in technology, technique, and research that will impact deep brain stimulation; particularly focusing on closed-loop stimulation techniques and emerging techniques such as optogenetics, cybersecurity risk, implantation timing, and impediments to undertaking high-quality research.

摘要

深部脑刺激已经彻底改变了难治性运动障碍的临床管理,并为越来越多的神经和精神疾病提供了新的治疗选择。在本文中,我们简要回顾深部脑刺激的历史,特别关注过去50年,这期间深部脑刺激的安全性和有效性得到了快速发展。然后,我们讨论深部脑刺激的当前技术水平,重点关注新出现的适应症以及改善该领域的最新技术进展。最后,我们思考将影响深部脑刺激的技术、技术和研究方面的未来发展;特别关注闭环刺激技术以及光遗传学等新兴技术、网络安全风险、植入时机,以及开展高质量研究的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ad5/7058209/2c4fe8c966f9/10.1177_2398212818816017-fig1.jpg

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