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帕金森病认知的神经调节。

Neuromodulation of cognition in Parkinson's disease.

机构信息

Department of Neurology, University of Iowa, Iowa City, IA, United States.

Department of Neurology, University of Iowa, Iowa City, IA, United States.

出版信息

Prog Brain Res. 2022;269(1):435-455. doi: 10.1016/bs.pbr.2022.01.016. Epub 2022 Feb 11.


DOI:10.1016/bs.pbr.2022.01.016
PMID:35248205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9199111/
Abstract

Neuromodulation is a widely used treatment for motor symptoms of Parkinson's disease (PD). It can be a highly effective treatment as a result of knowledge of circuit dysfunction associated with motor symptoms in PD. However, the mechanisms underlying cognitive symptoms of PD are less well-known, and the effects of neuromodulation on these symptoms are less consistent. Nonetheless, neuromodulation provides a unique opportunity to modulate motor and cognitive circuits while minimizing off-target side effects. We review the modalities of neuromodulation used in PD and the potential implications for cognitive symptoms. There have been some encouraging findings with both invasive and noninvasive modalities of neuromodulation, and there are promising advances being made in the field of therapeutic neuromodulation. Substantial work is needed to determine which modulation targets are most effective for the different types of cognitive deficits of PD.

摘要

神经调节是治疗帕金森病(PD)运动症状的常用方法。由于了解了与 PD 运动症状相关的回路功能障碍,它可以成为一种非常有效的治疗方法。然而,PD 认知症状的机制还不太清楚,神经调节对这些症状的效果也不一致。尽管如此,神经调节提供了一个独特的机会,可以在最小化脱靶副作用的同时调节运动和认知回路。我们回顾了 PD 中使用的神经调节方式以及对认知症状的潜在影响。神经调节的有创和无创方式都有一些令人鼓舞的发现,治疗性神经调节领域也取得了有前途的进展。需要做大量的工作来确定哪种调节靶点对 PD 的不同类型的认知缺陷最有效。

相似文献

[1]
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Prog Brain Res. 2022

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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[5]
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[8]
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本文引用的文献

[1]
tACS as a promising therapeutic option for improving cognitive function in mild cognitive impairment: A direct comparison between tACS and tDCS.

J Psychiatr Res. 2021-9

[2]
A Scoping Review of Neuromodulation Techniques in Neurodegenerative Diseases: A Useful Tool for Clinical Practice?

Medicina (Kaunas). 2021-2-27

[3]
Timing variability and midfrontal ~4 Hz rhythms correlate with cognition in Parkinson's disease.

NPJ Parkinsons Dis. 2021-2-15

[4]
Resting fMRI-guided TMS results in subcortical and brain network modulation indexed by interleaved TMS/fMRI.

Exp Brain Res. 2021-4

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Magnetic resonance-guided focused ultrasound for Parkinson's disease since ExAblate, 2016-2019: a systematic review.

Neurol Sci. 2021-2

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Neurotherapeutics. 2020-10

[7]
The effect of STN DBS on modulating brain oscillations: consequences for motor and cognitive behavior.

Exp Brain Res. 2020-8

[8]
The Fastest Way to Stop: Inhibitory Control and IFG-STN Hyperdirect Connectivity.

Neuron. 2020-5-20

[9]
Efforts of subthalamic nucleus deep brain stimulation on cognitive spectrum: From explicit to implicit changes in the patients with Parkinson's disease for 1 year.

CNS Neurosci Ther. 2020-9

[10]
Cognitive Impairment and Dementia in Parkinson Disease.

Clin Geriatr Med. 2020-5

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