功能运动障碍和深度大脑刺激:一篇综述
Alexandra Boogers1, Alfonso Fasano1
1Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Clinic (AB, AF), Toronto Western Hospital, UHN, Division of Neurology, University of Toronto; Krembil Brain Institute (AF); and Center for Advancing Neurotechnological Innovation to Application (CRANIA) (AF), Toronto, Ontario, Canada.
Neurology. Clinical practice
|October 14, 2024
概括
功能性运动障碍 (FMDs) 在深度大脑刺激 (DBS) 患者中经常被忽视. 快速诊断口病对手术结果至关重要,需要进一步研究风险因素和患者管理.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
背景情况:
- 功能性运动障碍 (FMDs) 可以使深度大脑刺激 (DBS) 治疗复杂化.
- 接受DBS的患者可能会出现或发展口病,影响手术决策和结果.
研究的目的:
- 探索 FMD 和 DBS 之间的复杂关系.
- 突出诊断挑战和口病在DBS候选人和接受者的影响.
主要方法:
- 这项研究是一个叙事性综述.
- 它综合了目前在DBS的背景下对口病的理解.
主要成果:
- 在DBS候选人中未被识别的口病常常表现为功能性 dystonia.
- 在DBS后发展的口病通常呈现为功能性震.
- 同病性口病对手术候选和管理提出了重大挑战.
结论:
- DBS患者的口和口病经常被诊断不足,并严重影响手术成功.
- 进一步调查DBS后口病的风险因素以及并发病病例的最佳管理策略至关重要.
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