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[丘脑底核刺激对帕金森病的影响]

[Effects of the stimulation of the subthalamic nucleus in Parkinson disease].

作者信息

Pollak P, Benabid A L, Gross C, Gao D M, Laurent A, Benazzouz A, Hoffmann D, Gentil M, Perret J

机构信息

Département des Neurosciences Cliniques et Biologiques, Centre Hospitalier Universitaire de Grenoble, France.

出版信息

Rev Neurol (Paris). 1993;149(3):175-6.

PMID:8235208
Abstract

In Parkinson's disease, experimental studies favour a neuronal hyperactivity of the subthalamic nucleus. We carried out a subthalamic nucleus electrical stimulation in a patient aged 51, suffering for 8 years from a severe akineto-rigid form of Parkinson's disease, complicated with an on-off effect. Stereotaxic surgery was done under local anaesthesia on one side. Within the theoretical target, a 130 Hz stimulation induced akinesia alleviation mainly on the contralateral limbs. No abnormal movement was noticed. Then a long-term quadripolar DBS Medtronic electrode was inserted in that area. The study of the effects of chronic stimulation is in progress to determine the best temporal and electrical stimulation variables.

摘要

在帕金森病中,实验研究倾向于认为底丘脑核存在神经元活动亢进。我们对一名51岁的患者进行了底丘脑核电刺激,该患者患有严重的运动不能 - 强直型帕金森病8年,伴有开关现象。在局部麻醉下对一侧进行了立体定向手术。在理论靶点内,130赫兹的刺激主要使对侧肢体的运动不能得到缓解。未观察到异常运动。然后在该区域插入了一根美敦力长期四极深部脑刺激电极。慢性刺激效果的研究正在进行中,以确定最佳的时间和电刺激参数。

相似文献

1
[Effects of the stimulation of the subthalamic nucleus in Parkinson disease].[丘脑底核刺激对帕金森病的影响]
Rev Neurol (Paris). 1993;149(3):175-6.
2
Long-term effect of electrostimulation of the subthalamic nucleus in bradykinetic-rigid Parkinson's disease.丘脑底核电刺激对运动迟缓-强直型帕金森病的长期影响。
Minim Invasive Neurosurg. 1998 Sep;41(3):133-6. doi: 10.1055/s-2008-1052028.
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Acute and long-term effects of subthalamic nucleus stimulation in Parkinson's disease.
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Subthalamic GAD gene transfer in Parkinson disease patients who are candidates for deep brain stimulation.对适合进行深部脑刺激的帕金森病患者进行丘脑底核谷氨酸脱羧酶基因转移。
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[Treatment of severe Parkinson disease with electric stimulation of the subthalamic nuclei].[通过丘脑底核电刺激治疗重度帕金森病]
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6
Treatment of tremor in Parkinson's disease by subthalamic nucleus stimulation.通过丘脑底核刺激治疗帕金森病震颤
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Subthalamic nucleus stimulation modulates motor cortex oscillatory activity in Parkinson's disease.丘脑底核刺激可调节帕金森病患者的运动皮层振荡活动。
Brain. 2004 Feb;127(Pt 2):408-19. doi: 10.1093/brain/awh053. Epub 2003 Dec 22.
8
Subthalamic nucleus stimulation alleviates akinesia and rigidity in parkinsonian patients.
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9
Subthalamic nucleus stimulation in Parkinson's disease: clinical evaluation of 18 patients.帕金森病中丘脑底核刺激:18例患者的临床评估
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Bilateral subthalamic nucleus stimulation for Parkinson's disease.双侧丘脑底核刺激治疗帕金森病。
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引用本文的文献

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Position paper: leveraging non-human primate (NHP) specificities to accelerate Parkinson's disease and ageing research.立场文件:利用非人灵长类动物(NHP)的特性加速帕金森病和衰老研究。
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Patient, target, device, and program selection for DBS in Parkinson's disease: advancing toward precision care.帕金森病中脑深部电刺激术的患者、靶点、设备及程序选择:迈向精准医疗
NPJ Parkinsons Dis. 2025 Jul 1;11(1):195. doi: 10.1038/s41531-025-01015-x.
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The Effects of Deep Brain Stimulation on Balance in Parkinson's Disease as Measured Using Posturography-A Narrative Review.
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A framework for translational therapy development in deep brain stimulation.深部脑刺激中转化治疗发展的框架
NPJ Parkinsons Dis. 2024 Nov 8;10(1):216. doi: 10.1038/s41531-024-00829-5.
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Deep Brain Stimulation restores information processing in parkinsonian cortical networks.深部脑刺激可恢复帕金森病皮质网络中的信息处理。
medRxiv. 2024 Aug 28:2024.08.25.24310748. doi: 10.1101/2024.08.25.24310748.
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Dopamine Release Dynamics in the Nucleus Accumbens Are Modulated by the Timing of Electrical Stimulation Pulses When Applied to the Medial Forebrain Bundle and Medial Prefrontal Cortex.电刺激伏隔核和前额皮质内侧束时,多巴胺释放动力学受刺激脉冲时间的调节。
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Why so slow? Models of parkinsonian bradykinesia.为什么这么慢?帕金森氏运动徐缓模型。
Nat Rev Neurosci. 2024 Aug;25(8):573-586. doi: 10.1038/s41583-024-00830-0. Epub 2024 Jun 27.
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A Computational Model of Deep Brain Stimulation for Parkinson's Disease Tremor and Bradykinesia.帕金森病震颤和运动迟缓的深部脑刺激计算模型
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Deep Brain Stimulation for Parkinson's Disease.帕金森病的深部脑刺激治疗
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