在STN DBS患者中刺激诱导的运动障碍
Carolina Candeias da Silva1,2, Wilson K W Fung1,3, Duha M Al-Shorafat1,4
1Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Clinic, Toronto Western Hospital, UHN, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.
Movement disorders clinical practice
|April 18, 2025
概括
刺激诱导的动力障碍 (SID) 是对帕金森病 (PD) 进行亚thalamic深脑刺激 (STN DBS) 的常见副作用. 由于其潜在的持久性,经常需要管理策略.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 运动障碍 运动障碍
背景情况:
- 刺激诱导的动力障碍 (SID) 是对帕金森病 (PD) 脑下体内深层脑刺激 (STN DBS) 的一个鲜为人知的并发症.
- 在接受STN DBS治疗的PD患者中,SID可能会引起显著的痛苦.
研究的目的:
- 在接受STN DBS的帕金森病患者中描述SID的特征.
- 为了确定与SID发生相关的因素.
- 描述SID的管理策略.
主要方法:
- 对86名患有帕金森病的患者进行了回顾性分析,这些患者接受了STN DBS.
- 临床特征和激活组织体积 (VTA) 与SID的相关性.
- 对SID.所采用的管理策略的审查.
主要成果:
- SID发生在32.6%的患者中,在7.0%的患者中持续长达6个月.
- 静脉动脉与右侧运动子体核的重叠与SID有显著的关联 (P < 0.02).
- 多巴胺作用药物断奶和降低DBS振幅是常见的管理策略.
结论:
- 在帕金森病患者中,SID是STN DBS的常见并发症.
- SID可能是持久的,需要特殊的术后管理.
- 了解VTA和临床特征有助于管理SID.
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