深度大脑刺激 (DBS) 对帕金森病嗅觉的影响:临床特征和功能假设
G Brand1, C Bontempi1, L Jacquot1
1Neuroscience Laboratory, University of Franche-Comte, Besançon, France.
Revue neurologique
|June 10, 2023
概括
深度大脑刺激 (DBS) 在帕金森病 (PD) 中没有改善嗅觉. 然而,DBS可能会通过复杂的神经通路相互作用来增强嗅觉识别和区分能力.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 深度大脑刺激 (DBS) 是对帕金森病 (PD) 运动症状的主要治疗方法.
- DBS对非运动症状,特别是嗅觉障碍 (ODs) 的影响仍然不太了解和辩论.
- 嗅觉功能障碍是PD中常见的非运动症状,影响生活质量.
研究的目的:
- 审查DBS在帕金森病 (PD) 中嗅觉障碍 (ODs) 的疗效.
- 探索DBS对嗅觉认知任务的影响背后的功能假设.
主要方法:
- 文献综述综合了关于DBS和PD中的嗅觉功能的现有研究.
- 功能神经成像和与嗅觉通路相关的神经化学数据的分析.
主要成果:
- 在PD患者中,DBS并不能显著改善低血 (减少嗅觉).
- DBS对PD的嗅觉识别和歧视得分产生了积极的影响.
- 假设表明DBS影响大脑连接和神经发生,影响嗅觉通路.
结论:
- 在帕金森病中,DBS不能有效改善嗅觉.
- DBS可能为特定的嗅觉认知功能提供好处,例如PD的识别和歧视.
- 胆性神经递质相互作用和一般认知能力的改善可能有助于提高DBS后的嗅觉任务性能.
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