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超越苍白球或丘脑下核深部脑刺激治疗肌张力障碍。

Beyond Pallidal or Subthalamic Deep Brain Stimulation to Treat Dystonia.

机构信息

Department of Neurology, Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA.

Department of Neurosurgery, Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA.

出版信息

Tremor Other Hyperkinet Mov (N Y). 2024 Sep 17;14:45. doi: 10.5334/tohm.935. eCollection 2024.

DOI:10.5334/tohm.935
PMID:39308988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11414463/
Abstract

Deep brain stimulation of the subthalamic nucleus and globus pallidus internus is approved by the Food and Drug Administration for treating dystonia. Both targets have shown effectiveness in improving symptoms, but post-operative outcomes can vary significantly among patients. This variability has led researchers to explore alternative neuromodulation targets that might offer more consistent results. Emerging research has highlighted several promising new targets for DBS in dystonia. This review examines pre-clinical and clinical data on novel DBS targets for dystonia and explores non-invasive neuromodulation studies that shed light on the disease's underlying pathological circuitry.

摘要

脑深部电刺激丘脑底核和苍白球 internus 已获食品和药物管理局批准用于治疗肌张力障碍。这两个靶点都已显示出改善症状的有效性,但术后结果在患者之间可能有很大差异。这种可变性促使研究人员探索可能提供更一致结果的替代神经调节靶点。新兴研究强调了肌张力障碍的几个有前途的新 DBS 靶点。这篇综述检查了肌张力障碍的新 DBS 靶点的临床前和临床数据,并探讨了阐明疾病潜在病理回路的非侵入性神经调节研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa1/11414463/b13b1b3fbc20/tohm-14-1-935-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa1/11414463/a4dc6c4273a2/tohm-14-1-935-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa1/11414463/b13b1b3fbc20/tohm-14-1-935-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa1/11414463/a4dc6c4273a2/tohm-14-1-935-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fa1/11414463/b13b1b3fbc20/tohm-14-1-935-g2.jpg

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本文引用的文献

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Protocol for combined N-of-1 trials to assess cerebellar neurostimulation for movement disorders in children and young adults with dyskinetic cerebral palsy.用于评估小脑神经刺激治疗运动障碍的 N-of-1 联合试验方案:患有运动障碍性脑瘫的儿童和青少年。
BMC Neurol. 2024 Apr 29;24(1):145. doi: 10.1186/s12883-024-03633-z.
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Cerebellar deep brain stimulation for the treatment of movement disorders in cerebral palsy.小脑深部脑刺激治疗脑瘫运动障碍。
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Combined thalamic and pallidal deep brain stimulation for dystonic tremor.
丘脑和苍白球联合深部脑刺激治疗肌张力障碍性震颤。
Parkinsonism Relat Disord. 2022 Oct;103:29-33. doi: 10.1016/j.parkreldis.2022.08.003. Epub 2022 Aug 10.
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Dual Pallidal and Thalamic Deep Brain Stimulation for Complex Ipsilateral Dystonia.苍白球和丘脑双侧深部脑刺激治疗复杂同侧肌张力障碍。
Yonsei Med J. 2022 Feb;63(2):166-172. doi: 10.3349/ymj.2022.63.2.166.
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Effects of High-Frequency Repetitive Transcranial Magnetic Stimulation on Upper Limb Dystonia in Patients With Wilson's Disease: A Randomized Controlled Trial.高频重复经颅磁刺激对肝豆状核变性患者上肢肌张力障碍的影响:一项随机对照试验
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Deep Brain Stimulation Treating Dystonia: A Systematic Review of Targets, Body Distributions and Etiology Classifications.深部脑刺激治疗肌张力障碍:靶点、身体分布及病因分类的系统评价
Front Hum Neurosci. 2021 Nov 26;15:757579. doi: 10.3389/fnhum.2021.757579. eCollection 2021.
7
Effects of Low-frequency Repetitive Transcranial Magnetic Stimulation on Focal Hand Dystonia: A Case Report.低频重复经颅磁刺激治疗局灶性手部肌张力障碍的疗效:一例报告
Tokai J Exp Clin Med. 2021 Apr 20;46(1):44-50.
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Long-term effects of pallidal and thalamic deep brain stimulation in myoclonus dystonia.苍白球和丘脑深部脑刺激对肌阵挛性肌张力障碍的长期影响。
Eur J Neurol. 2021 May;28(5):1566-1573. doi: 10.1111/ene.14737. Epub 2021 Feb 6.
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Deep brain stimulation of the ventralis oralis anterior thalamic nucleus is effective for dystonic tremor.丘脑腹前核的深部脑刺激对肌张力障碍性震颤有效。
Parkinsonism Relat Disord. 2020 Dec;81:8-11. doi: 10.1016/j.parkreldis.2020.09.040. Epub 2020 Sep 29.
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