带状:解剖学,连接性以及超越的东西.
Linda Kollenburg1, Hisse Arnts1, Alexander Green2
1Department of Neurosurgery, Functional Neurosurgery Unit, Radboud University Medical Center, Nijmegen 6525 GA,Netherlands.
Brain communications
|February 14, 2025
概括
带膜是处理慢性疼痛的关键大脑区域,集成感官,认知和情绪信息. 了解其复杂的解剖学对于有效的神经外科疼痛管理至关重要.
科学领域:
- 神经科学是一个神经科学.
- 神经外科 神经外科
- 疼痛管理 疼痛管理
背景情况:
- 长带的广泛功能和神经/精神疾病的参与已被研究了很长时间.
- 针对带的神经外科干预,如深度大脑刺激和带切割,正在越来越多地被用于慢性难治疼痛.
- 圆环内准确的准对于成功缓解疼痛至关重要,但它的组织仍然存在争议.
研究的目的:
- 从临床的角度来看,从临床的角度来看,审查带的解剖学和连接数据.
- 增强对环带在疼痛处理中的作用的理解.
- 为了应对神经外科针对长期疼痛中带状带的挑战.
主要方法:
- 系统的PubMed文献搜索和手动的参考检查.
- 分析重点是解剖学和功能/结构连接数据,包括MRI和PET研究.
- 包括70篇文章,涵盖人类,子和老鼠的主题.
主要成果:
- 存在多个环的解剖学模型,有不同的细分.
- 连接数据显示,在带状纤维捆内有三个不同的纤维投射.
- 环带结合了与疼痛相关的感觉,记忆,认知,情感和内运动功能.
结论:
- 带状作为疼痛处理的中心枢纽,整合了各种功能.
- 解剖学和连接模型的变化使标准化的神经外科向复杂化.
- 未来的研究应该集中在这些模型的标准化上,以便在慢性疼痛中进行最佳的患者管理.
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