对帕金森病单边下体内核深脑刺激的差异性认知效应
Victor A Del Bene1,2, Roy C Martin1,2, Sarah A Brinkerhoff1
1Department of Neurology, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama, USA.
Annals of neurology
|March 19, 2024
概括
针对亚thalamic核 (STN) 的深度大脑刺激 (DBS) 在定向和环类型之间没有区别. 然而,单边右STN DBS改善了帕金森病患者的口语流性和响应抑制.
科学领域:
- 神经科学是一个神经科学.
- 神经外科 神经外科
- 认知科学 认知科学
背景情况:
- 脑下核深度大脑刺激 (STN DBS) 是高级帕金森病的治疗选择.
- 不同STN DBS配置的认知效应,特别是定向与环电极的认知效应,仍然不完全理解.
研究的目的:
- 在晚期帕金森病患者中,比较单边定向与环状STN DBS的认知结果.
- 研究刺激半球对认知功能的影响.
主要方法:
- 一项随机,双盲,交叉研究,涉及31名帕金森病患者接受单边STN DBS.
- 认知评估包括口语流,听觉-口语记忆和响应抑制.
- 混合线性模型分析了刺激类型和植入半球的影响.
主要成果:
- 在定向和环状STN DBS之间没有发现显著的群体级认知差异.
- 植入半球显著影响认知:左侧STN DBS与口语流性下降有关,而右侧STN DBS则改善了这种情况.
- 右STN DBS也增强了响应抑制,而延迟回忆随着时间的推移而略有下降,无论半球.
结论:
- 单边STN DBS导向配置 (定向与环) 并没有对认知表现产生差异性影响.
- 认知效应因半球而异:左侧STN DBS恶化了口语流性,而右侧STN DBS改善了口语流性和响应抑制.
- 单边右侧STN DBS可能在特定的帕金森病患者中提供认知益处,这些患者有右侧运动症状.
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