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小脑间核深部脑刺激在一种具有肌张力障碍的条件性基因小鼠模型中的应用。

Deep Brain Stimulation of the Interposed Cerebellar Nuclei in a Conditional Genetic Mouse Model with Dystonia.

机构信息

Department of Pathology & Immunology, Baylor College of Medicine, Houston, TX, USA.

Department of Neuroscience, Baylor College of Medicine, Houston, TX, USA.

出版信息

Adv Neurobiol. 2023;31:93-117. doi: 10.1007/978-3-031-26220-3_6.

Abstract

Dystonia is a neurological disease that is currently ranked as the third most common motor disorder. Patients exhibit repetitive and sometimes sustained muscle contractions that cause limb and body twisting and abnormal postures that impair movement. Deep brain stimulation (DBS) of the basal ganglia and thalamus can be used to improve motor function when other treatment options fail. Recently, the cerebellum has garnered interest as a DBS target for treating dystonia and other motor disorders. Here, we describe a procedure for targeting DBS electrodes to the interposed cerebellar nuclei to correct motor dysfunction in a mouse model with dystonia. Targeting cerebellar outflow pathways with neuromodulation opens new possibilities for using the expansive connectivity of the cerebellum to treat motor and non-motor diseases.

摘要

肌张力障碍是一种神经系统疾病,目前被列为第三大常见运动障碍。患者表现出重复的、有时是持续的肌肉收缩,导致肢体和身体扭曲和异常姿势,从而影响运动。当其他治疗方法失败时,可以使用基底神经节和丘脑的深部脑刺激(DBS)来改善运动功能。最近,小脑作为治疗肌张力障碍和其他运动障碍的 DBS 靶点引起了关注。在这里,我们描述了一种将 DBS 电极靶向到中间小脑核的方法,以纠正具有肌张力障碍的小鼠模型中的运动功能障碍。通过神经调节靶向小脑输出通路为利用小脑的广泛连接来治疗运动和非运动疾病开辟了新的可能性。

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