皮质过敏性在肌缩侧面硬化症:从发病到诊断
Hannah C Timmins1, Steve Vucic2, Matthew C Kiernan1,3
1Brain and Mind Centre.
Current opinion in neurology
|June 30, 2023
概括
诊断肌缩侧面硬化症 (ALS) 是具有挑战性的,因为微妙的上部运动神经元的迹象. 皮层过度兴奋,通过跨磁刺激 (TMS) 检测到,显示承诺作为一个早期诊断生物标志物为ALS.
科学领域:
- 神经科学是一个神经科学.
- 神经学 神经学
- 生物标志物 生物标志物
背景情况:
- 诊断肌缩性侧面硬化症 (ALS) 严重依赖于识别上部运动神经元的参与,这往往是临床上微妙的,特别是在早期阶段.
- 目前的诊断标准有效地检测到下部运动神经元损伤,但在敏感评估上部运动神经元功能障碍时却存在困难.
- 新兴研究强调了谷氨酸中介激发毒性和C9orf72等遗传因素,将ALS重新定义为神经退行性连续体的一部分.
结论:
- 皮质功能的TMS测量代表了ALS的潜在诊断生物标志物.
- 对TMS的可访问性促进了其用于ALS诊断的临床利用.
- 在ALS临床试验中,TMS在监测神经保护和基因治疗方面具有进一步的潜力.
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