在儿童中神经刺激
Soumya Ghosh1,2, Lakshmi Nagarajan3,4
1Children's Neuroscience Service, Dept of Neurology, Perth Children's Hospital, Nedlands, WA, 6009, Australia. Soumya.Ghosh@health.wa.gov.au.
Indian pediatrics
|April 7, 2025
概括
神经刺激装置为患有耐药的儿童提供了一个有前途的选择,在减少发作方面显示出有效性和安全性. 需要进一步的儿科研究来优化这些治疗方法,以改善控制和生活质量.
科学领域:
- 神经学 神经学
- 儿科症 儿科症
- 医疗器械 医疗器械
背景情况:
- 会影响到许多儿童,其中很大一部分儿童经历了持续的发作,尽管服用了药物.
- 耐药性在儿科护理中是一个重大挑战.
- 神经刺激为耐火病例提供了潜在的治疗途径.
研究的目的:
- 审查各种神经刺激技术在治疗儿童耐药性的证据.
- 评估这些设备的安全性和有效性.
- 识别当前研究中的差距,特别是对于儿科患者群体.
主要方法:
- 系统审查关于神经刺激治疗的现有文献.
- 包括关于迷走神经刺激,深度大脑刺激,响应神经刺激和皮质刺激技术的研究.
- 分析有关减轻发作,耐受性和安全性资料的数据.
主要成果:
- 几种神经刺激装置在降低抗药性的发作负担方面表现出有效性.
- 这些技术通常被认为是安全的和耐受良好的.
- 在儿科患者群体中,证据更为有限,大多数技术用于非标签或试验中.
结论:
- 神经刺激是治疗耐药性的可行选择,在成年人中取得了有希望的结果,在儿童中也有新兴的数据.
- 神经刺激是儿科中最成熟的技术.
- 进一步强大的儿科试验对于确定最佳的神经刺激策略和参数以改善结果和生活质量至关重要.
相关概念视频
Arteries of the Lower Limbs
171
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
171
Electroconvulsive Therapy
19
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
19


