对于基本震而言,腹腔中间核刺激的有效性丧失
Jakov Tiefenbach1, Jeryl Ritzi T Yu2, Efstathios D Kondylis3
1Department of Neuroscience, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA.
World neurosurgery
|March 20, 2024
概括
长期深度大脑刺激 (DBS) 治疗基本震的疗效在一半以上的患者中呈现下降. 疾病的进展和习惯性可能导致这种益处的损失,需要新的救援目标.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 生物医学工程 生物医学工程
背景情况:
- 基本震 (ET) 是一种常见的神经疾病.
- 针对腹中介质核 (VIM) 的深度大脑刺激 (DBS) 是ET的一种成熟治疗方法.
- 长期结果和影响VIM DBS对ET有效性丧失的因素需要进一步调查.
研究的目的:
- 报告VIM DBS对ET的长期结果.
- 为了确定与有效性丧失相关的因素.
- 讨论VIM DBS的潜在救援目标.
主要方法:
- 对43名接受VIM DBS的ET患者的回顾性图表审查.
- 抽取震分数和相关的临床/成像数据.
- 分析影响长期结果的因素.
主要成果:
- 56%的DBS线索在长期随访 (中位数为52.7个月) 显示震得分恶化.
- 14%的潜在客户经历了临床上显著的利损失.
- 人口统计,BMI,随访时间,缩和心室宽度没有预测结果.
结论:
- 很大一部分VIM DBS患者经历了随着时间的推移而减弱的疗效.
- 习惯和疾病进展可能是有效性丧失的原因.
- 腹腔复合体和牙状核是潜在的救援目标.
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