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调节帕金森病认知缺陷相关的大脑网络。

Modulating brain networks associated with cognitive deficits in Parkinson's disease.

机构信息

Department of Human Anatomy and Cell Science, University of Manitoba, 130-745 Bannatyne Ave., Winnipeg, MB, R3E 0J9, Canada.

Kleysen Institute for Advanced Medicine, Health Science Centre, Winnipeg, MB, Canada.

出版信息

Mol Med. 2021 Mar 10;27(1):24. doi: 10.1186/s10020-021-00284-5.

DOI:10.1186/s10020-021-00284-5
PMID:33691622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7945662/
Abstract

Parkinson's disease (PD) is a relatively well characterised neurological disorder that primarily affects motor and cognitive functions. This paper reviews on how transcranial direct current stimulation (tDCS) can be used to modulate brain networks associated with cognitive deficits in PD. We first provide an overview of brain network abnormalities in PD, by introducing the brain network modulation approaches such as pharmacological interventions and brain stimulation techniques. We then present the potential underlying mechanisms of tDCS technique, and specifically highlight how tDCS can be applied to modulate brain network abnormality associated with cognitive dysfunction among PD patients. More importantly, we address the limitations of existing studies and suggest possible future directions, with the aim of helping researchers to further develop the use of tDCS technique in clinical settings.

摘要

帕金森病(PD)是一种相对特征明显的神经退行性疾病,主要影响运动和认知功能。本文综述了经颅直流电刺激(tDCS)如何用于调节与 PD 认知缺陷相关的大脑网络。我们首先通过介绍脑网络调制方法(如药物干预和脑刺激技术),概述 PD 中的脑网络异常。然后,我们提出 tDCS 技术的潜在潜在机制,并特别强调 tDCS 如何应用于调节与 PD 患者认知功能障碍相关的脑网络异常。更重要的是,我们解决了现有研究的局限性,并提出了可能的未来方向,旨在帮助研究人员进一步将 tDCS 技术应用于临床环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d345/7945662/dbda38545329/10020_2021_284_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d345/7945662/dbda38545329/10020_2021_284_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d345/7945662/dbda38545329/10020_2021_284_Fig1_HTML.jpg

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本文引用的文献

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Imaging Cerebral Glucose Metabolism during Dual-Task Walking in Patients with Parkinson's disease.在帕金森病患者双任务行走期间进行脑葡萄糖代谢成像。
J Neuroimaging. 2021 Mar;31(2):356-362. doi: 10.1111/jon.12812. Epub 2020 Dec 8.
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Transcranial direct current stimulation (tDCS) over the auditory cortex modulates GABA and glutamate: a 7 T MR-spectroscopy study.经颅直流电刺激(tDCS)作用于听觉皮层调节 GABA 和谷氨酸:一项 7T MR 波谱研究。
Sci Rep. 2020 Nov 18;10(1):20111. doi: 10.1038/s41598-020-77111-0.
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利用结构磁共振成像数据预测帕金森病患者轻度认知障碍的发生情况。
Front Neurosci. 2024 Apr 18;18:1375395. doi: 10.3389/fnins.2024.1375395. eCollection 2024.
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Effect of Transcranial Direct Current Stimulation (tDCS) on Depression in Parkinson's Disease-A Narrative Review.经颅直流电刺激(tDCS)对帕金森病抑郁的影响——一项叙述性综述
J Clin Med. 2024 Jan 25;13(3):699. doi: 10.3390/jcm13030699.
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Resting state EEG as biomarker of cognitive training and physical activity's joint effect in Parkinson's patients with mild cognitive impairment.静息态脑电图作为帕金森病轻度认知障碍患者认知训练与体育活动联合效应的生物标志物。
Neurol Res Pract. 2023 Sep 14;5(1):46. doi: 10.1186/s42466-023-00273-5.
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Classification of early-MCI patients from healthy controls using evolutionary optimization of graph measures of resting-state fMRI, for the Alzheimer's disease neuroimaging initiative.使用静息态 fMRI 图测度的进化优化对 ADNI 中早期轻度认知障碍患者与健康对照者进行分类。
PLoS One. 2022 Jun 21;17(6):e0267608. doi: 10.1371/journal.pone.0267608. eCollection 2022.
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Transcranial Direct Current Stimulation Enhances Cognitive Function in Patients with Mild Cognitive Impairment and Early/Mid Alzheimer's Disease: A Systematic Review and Meta-Analysis.经颅直流电刺激改善轻度认知障碍和早/中期阿尔茨海默病患者的认知功能:一项系统评价和荟萃分析。
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帕金森病和帕金森综合征中的扩散张量成像:一项系统综述。
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Non-invasive Brain Stimulation in Alzheimer's Disease and Mild Cognitive Impairment-A State-of-the-Art Review on Methodological Characteristics and Stimulation Parameters.阿尔茨海默病和轻度认知障碍中的非侵入性脑刺激——关于方法学特征和刺激参数的最新综述
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