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通过弱电磁场治疗逆转慢性进行性多发性硬化症患者的视觉空间半侧忽视

Reversal of visuospatial hemi-inattention in patients with chronic progressive multiple sclerosis by treatment with weak electromagnetic fields.

作者信息

Sandyk R

机构信息

NeuroCommunication Research Laboratories, Danbury, CT 06811, USA.

出版信息

Int J Neurosci. 1994 Dec;79(3-4):169-84. doi: 10.3109/00207459408986078.

DOI:10.3109/00207459408986078
PMID:7744559
Abstract

The occurrence of cognitive impairment including visuoperceptive and visuospatial deficits have long been recognized to occur in patients with multiple sclerosis (MS) particularly among patients with a chronic progressive course. In MS visuospatial and visuoperceptive deficits have been attributed to the presence of diffuse demyelinating plaques which "disconnect" the brainstem reticular formation and other subcortical structures involved in attention and arousal from cortical areas thus causing a state of hypoarousal. It has been reported recently that brief external applications of alternating pulsed electromagnetic fields (EMFs) in the picotesla (pT) range intensity improved visuoperceptive and visuospatial functions in MS patients. The present communication concerns three female patients with chronic progressive course of MS (mean age: 52.3 +/- 2.0 yrs; mean duration of illness: 17.6 +/- 10.2 yrs) who, on tests of free drawings, demonstrated visuospatial hemi-inattention as a feature of more global cognitive deterioration. In all patients brief applications of EMFs rapidly reversed this cognitive deficit. These findings support prior observations demonstrating that pT EMFs may bring about reversal of certain cognitive deficits in MS patients which, to my knowledge, remain unaffected by any other treatment modality.

摘要

长期以来,人们一直认为认知障碍(包括视觉感知和视觉空间缺陷)会在多发性硬化症(MS)患者中出现,尤其是在慢性进展型患者中。在MS中,视觉空间和视觉感知缺陷被归因于弥漫性脱髓鞘斑块的存在,这些斑块使脑干网状结构和其他参与注意力和觉醒的皮质下结构与皮质区域“断开连接”,从而导致觉醒不足状态。最近有报道称,在皮特斯拉(pT)范围内强度的交变脉冲电磁场(EMF)进行短暂外部应用可改善MS患者的视觉感知和视觉空间功能。本报告涉及三名患有慢性进展型MS的女性患者(平均年龄:52.3±2.0岁;平均病程:17.6±10.2年),她们在自由绘画测试中表现出视觉空间半侧疏忽,这是更全面认知衰退的一个特征。在所有患者中,EMF的短暂应用迅速逆转了这种认知缺陷。这些发现支持了先前的观察结果,即pT EMF可能会使MS患者的某些认知缺陷得到逆转,据我所知,这些缺陷不受任何其他治疗方式的影响。

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