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脑深部电刺激的临床应用之外:探索帕金森病和阿尔茨海默病治疗的未来。

Deep Brain Stimulation beyond the Clinic: Navigating the Future of Parkinson's and Alzheimer's Disease Therapy.

机构信息

Weill Cornell Medicine-Qatar, Education City, Qatar Foundation, Doha 24144, Qatar.

Department of Neurosurgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.

出版信息

Cells. 2023 May 25;12(11):1478. doi: 10.3390/cells12111478.

Abstract

Deep brain stimulation (DBS) is a surgical procedure that uses electrical neuromodulation to target specific regions of the brain, showing potential in the treatment of neurodegenerative disorders such as Parkinson's disease (PD) and Alzheimer's disease (AD). Despite similarities in disease pathology, DBS is currently only approved for use in PD patients, with limited literature on its effectiveness in AD. While DBS has shown promise in ameliorating brain circuits in PD, further research is needed to determine the optimal parameters for DBS and address any potential side effects. This review emphasizes the need for foundational and clinical research on DBS in different brain regions to treat AD and recommends the development of a classification system for adverse effects. Furthermore, this review suggests the use of either a low-frequency system (LFS) or high-frequency system (HFS) depending on the specific symptoms of the patient for both PD and AD.

摘要

脑深部电刺激(DBS)是一种利用电神经调节来靶向大脑特定区域的手术,在治疗神经退行性疾病(如帕金森病(PD)和阿尔茨海默病(AD))方面显示出潜力。尽管疾病病理相似,但 DBS 目前仅批准用于 PD 患者,关于其在 AD 中的有效性的文献有限。虽然 DBS 在改善 PD 中的大脑回路方面显示出了希望,但仍需要进一步研究以确定 DBS 的最佳参数并解决任何潜在的副作用。本综述强调需要对不同脑区的 DBS 进行基础和临床研究,以治疗 AD,并建议为不良反应开发分类系统。此外,本综述建议根据 PD 和 AD 患者的具体症状,使用低频系统(LFS)或高频系统(HFS)。

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