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Updated: Jun 29, 2025

In Vivo Thoracic Dorsal Root Ganglia (DRG) Calcium Imaging and ECG Recording for Studying Peripheral Nerve Stimulation
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背部根性节刺激缓解慢性神经病痛,并降低皮层 γ 功率.

Matthias Hubert Morgalla1, Yi Zhang1, Bankim Subhash Chander2

  • 1Department of Neurosurgery, Eberhard-Karls University, Tübingen, Germany.

Neuromodulation : journal of the International Neuromodulation Society
|March 29, 2024
PubMed
概括

背部根结节刺激 (DRGS) 有效地减少慢性神经病痛. 这种疗法与大脑中的马波段功率降低有关,这表明神经过度兴奋性降低,并为治疗疗效提供了潜在的生物标志物.

关键词:
慢性神经病变性疼痛 慢性神经病变性疼痛背部根腺节刺激 背部根腺节刺激沟疼痛 沟疼痛 沟疼痛膝盖疼痛 膝盖疼痛 膝盖疼痛γ频段的电源功率.

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科学领域:

  • 神经调节是一种神经调节.
  • 疼痛管理 疼痛管理
  • 神经科学是一个神经科学.

背景情况:

  • 背部根结节刺激 (DRGS) 是局部慢性疼痛的关键神经调节干预.
  • 马波段 (γ 波段) 振荡与受影响患者的慢性疼痛强度相关.

研究的目的:

  • 为了研究皮质马波段功率在经过DRG刺激 (DRGS) 之后的慢性神经病痛缓解中的作用.

主要方法:

  • 研究了接受DRGS治疗的9名患有慢性神经病痛的患者.
  • 脑电图 (EEG) 用于测量宽带马 (γ) 功率,以及用于疼痛评估的数值评分表 (NRS).
  • 在DRGS植入后的第1天和第7天收集了EEG和NRS数据以进行比较.

主要成果:

  • 数字评级表 (NRS) 的得分从DRGS后的第1天到第7天显著下降 (p = 0.007).
  • 静止状态马 (γ) 功率 (30-45 Hz) 与疼痛肢体相反显著下降 (p = 0.021).
  • 在玛 (γ) 带功率和NRS评级之间观察到正相关性 (rs = 0.628,p = 0.005).

结论:

  • 宽带马 (γ) 功率的横向降低支持DRGS疗法降低了感知系统过敏性.
  • 在植入前测试阶段,马 (γ) 带功率可以作为评估DRGS疗效的生物标志物.