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双侧苍白球深部脑刺激术治疗睑痉挛:一例病例报告及文献综述

Bilateral pallidal DBS for blepharospasm: A case report and review of the literature.

作者信息

Lucas Joshua, Kusyk Dorian, Whiting Donald

机构信息

MD Program, Drexel University College of Medicine, Philadelphia.

Department of Neurosurgery, Allegheny Health Network, Pittsburgh, Pennsylvania, United States.

出版信息

Surg Neurol Int. 2022 May 13;13:200. doi: 10.25259/SNI_1234_2021. eCollection 2022.

Abstract

BACKGROUND

Deep brain stimulation (DBS) of the globus pallidus internus (GPi) in the treatment of craniocervical dystonia often requires an extended period of stimulation parameter manipulations.

CASE DESCRIPTION

We present a patient suffering from debilitating blepharospasm treated with bilateral DBS of the GPi alongside 7 years of stimulation parameter manipulations and a literature review of comparable patients.

CONCLUSION

Our literature review suggests that a patient's specific dystonic symptoms can guide stimulation parameter manipulations. Further research regarding trends in stimulation parameters being used in the field for different dystonic symptoms may expedite the stimulation parameter manipulation process.

摘要

背景

苍白球内侧部(GPi)的脑深部电刺激(DBS)治疗颅颈肌张力障碍通常需要长时间调整刺激参数。

病例描述

我们报告了一名患有严重眼睑痉挛的患者,接受了双侧GPi-DBS治疗,同时进行了7年的刺激参数调整,并对类似患者进行了文献综述。

结论

我们的文献综述表明,患者的特定肌张力障碍症状可指导刺激参数调整。关于该领域针对不同肌张力障碍症状所使用刺激参数趋势的进一步研究,可能会加快刺激参数调整过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f332/9168297/2539d749ecb9/SNI-13-200-g001.jpg

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