抗药性的海马深脑刺激:从双边叶和后部病例的见解
Seung Ho Choo1, Hea Ree Park2, Seunghoon Lee3
1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Seizure
|December 11, 2024
概括
海马深层大脑刺激 (Hip-DBS) 有效地减少了耐药性患者 (DRE) 的发作,特别是残疾性发作. 认知功能保持稳定,这表明Hip-DBS是对DRE的有希望的治疗选择.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 的研究研究.
背景情况:
- 耐药性 (DRE) 对患者管理构成重大挑战.
- 确定对DRE有效的长期治疗策略至关重要.
研究的目的:
- 评估海马深脑刺激 (Hip-DBS) 的长期疗效.
- 评估双边叶 (BTLE) 和后部 (PE) 的患者的 Hip-DBS.
主要方法:
- 对15名接受双边Hip-DBS的DRE患者 (11名BTLE,4名PE) 的回顾性分析.
- 在8年的时间里,对医疗记录,日记和神经心理评估进行了审查.
主要成果:
- 中位数的发作减少:77.8%的残疾发作 (DS) 和47.9%的非残疾发作 (NDS).
- 响应率:DS的86.7%和NDS的50%.
- 认知功能保持稳定,非语言和视觉空间领域的改善趋势.
结论:
- Hip-DBS在减少BTLE和PE患者的发作频率方面显示了初步的有效性.
- 认知维护和潜在增强需要进一步调查.
- 部DBS是对DRE的有希望的治疗方法,特别是当切除手术不是一种选择时.
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