基本震 - 深度大脑刺激与深度大脑刺激 聚焦超声波是指聚焦超声波
Yuri Ferreira Felloni Borges1, Cletus Cheyuo2, Andres M Lozano2,3
1Edmond J. Safra Program in Parkinson's Disease, Division of Neurology, Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, UHN, University of Toronto, Toronto, ON, Canada.
Expert review of neurotherapeutics
|June 8, 2023
概括
像深度大脑刺激 (DBS) 和磁共振引导的聚焦超声波 (MRgFUS) 等基本震 (ET) 治疗在一线治疗失败时提供了选择. 选择取决于侵入性,成本和患者因素.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 医疗技术 医疗技术 医学技术
背景情况:
- 基本震 (ET) 是一种常见的动作震综合征,影响上肢.
- 在30-50%的病例中,ET会影响生活质量,并且抵抗标准治疗.
- 对于耐火性ET病例,可以考虑进行外科手术.
研究的目的:
- 为了审查和比较单边的腹腔中间核深度大脑刺激 (VIM DBS) 和双边的磁共振引导的聚焦超声波 (MRgFUS) thalamotomy.
- 讨论这些程序对减轻震和潜在并发症的影响.
- 提供专家意见,以选择治疗基本震.
主要方法:
- 对ET的VIM DBS和MRgFUS胸膜切除术现有文献的综述.
- 对程序侵入性,疗效和安全性概况进行比较分析.
- 关于临床决策的专家意见的综合.
主要成果:
- VIM DBS是可调节的,可逆的,允许双边治疗,但具有更高的外科风险.
- MRgFUS 胸腔切除术不那么侵入性,潜在的成本更低,并且不需要硬件.
- 这两种方法都旨在减少震,但在技术方面和潜在的并发症方面有所不同.
结论:
- 在ET的VIM DBS和MRgFUS乳头切除术之间进行选择需要仔细考虑程序差异.
- 患者特定的因素,包括对侵入性和硬件的耐受性至关重要.
- 患者,家庭和护理人员参与的共享决策对于最佳结果至关重要.
关键词:
基本的震震.先进的管理管理高级管理.深度大脑刺激 刺激大脑聚焦式超声波的使用,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,更多相关视频
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