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晚期帕金森病的长期脊髓强直刺激:在安慰剂对照评估下刺激无效果。

Long-term tonic spinal cord stimulation in advanced Parkinson's disease: No effect from stimulation under placebo-controlled evaluation.

作者信息

Carra Rafael Bernhart, da Costa Capato Tamine Teixeira, Menezes Janaina Reis, Barbosa Egberto Reis, Duarte Kleber Paiva, Teixeira Manoel Jacobsen, Cury Rubens Gisbert

机构信息

Movement Disorders Center, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil.

Functional Neurosurgery Division, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, Brazil.

出版信息

Clin Park Relat Disord. 2023 Oct 6;9:100220. doi: 10.1016/j.prdoa.2023.100220. eCollection 2023.

DOI:10.1016/j.prdoa.2023.100220
PMID:37854636
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10580045/
Abstract

•Chronic spinal cord stimulation effectiveness was evaluated in four PD patients.•Double blinded cross over evaluation was performed using subthreshold stimulation.•An open label evaluation with regular suprathreshold stimulation was also performed.•No statistically significant effect was produced with either stimulation.•This study highlights the lack of strong clinical evidence supporting SCS for PD.

摘要

•对4名帕金森病患者评估了慢性脊髓刺激的有效性。

•使用阈下刺激进行双盲交叉评估。

•还进行了常规阈上刺激的开放标签评估。

•两种刺激均未产生统计学上的显著效果。

•本研究突出了缺乏有力临床证据支持脊髓刺激用于帕金森病治疗的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f8/10580045/a3776cee3f41/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f8/10580045/a3776cee3f41/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29f8/10580045/a3776cee3f41/gr1.jpg

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本文引用的文献

1
Spinal Cord Stimulation for Parkinson's Disease: A Systematic Review and Meta-Analysis of Pain and Motor Outcomes.脊髓刺激治疗帕金森病:疼痛和运动结局的系统评价和荟萃分析。
Stereotact Funct Neurosurg. 2023;101(4):244-253. doi: 10.1159/000531089. Epub 2023 Jul 10.
2
Long-term update of the effect of spinal cord stimulation in advanced Parkinson's disease patients.脊髓刺激对晚期帕金森病患者影响的长期随访
Brain Stimul. 2020 Sep-Oct;13(5):1196-1197. doi: 10.1016/j.brs.2020.06.004. Epub 2020 Jun 3.
3
Spinal Cord Stimulation for Very Advanced Parkinson's Disease: A 1-Year Prospective Trial.
脊髓刺激疗法治疗帕金森病步态相关障碍的实用评价:差距与争议。
Mov Disord Clin Pract. 2024 Aug;11(8):927-947. doi: 10.1002/mdc3.14143. Epub 2024 Jun 20.
脊髓刺激治疗极晚期帕金森病:一项为期1年的前瞻性试验。
Mov Disord. 2020 Jun;35(6):1082-1083. doi: 10.1002/mds.28065. Epub 2020 Apr 20.
4
Spinal cord stimulation improves gait in patients with Parkinson's disease previously treated with deep brain stimulation.脊髓刺激可改善先前接受过深部脑刺激治疗的帕金森病患者的步态。
Mov Disord. 2017 Feb;32(2):278-282. doi: 10.1002/mds.26850. Epub 2016 Nov 10.
5
Spinal cord stimulation failed to relieve akinesia or restore locomotion in Parkinson disease.脊髓刺激未能缓解帕金森病中的运动不能或恢复运动能力。
Neurology. 2010 Apr 20;74(16):1325-7. doi: 10.1212/WNL.0b013e3181d9ed58.