对抗药性的深度脑刺激疗法:现在和未来的前景
Young-Min Shon1,2,3, Hea Ree Park1, Seunghoon Lee4
1Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of epilepsy research
|June 26, 2025
概括
深度大脑刺激 (DBS) 提供了可逆治疗药物耐药性 (DRE),当手术不是一个选择. 本综述探讨了DBS的目标,机制以及优化患者治疗结果的未来进展.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 生物医学工程 生物医学工程
背景情况:
- 耐药性 (DRE) 影响了30%-40%的患者,这给临床带来了重大挑战.
- 神经调节疗法,特别是深度大脑刺激 (DBS),对于不适合切除手术的患者至关重要.
- DBS为管理DRE提供了可行的和可逆的治疗替代方案.
研究的目的:
- 批判性地审查目前用于DRE的DBS的应用.
- 检查治疗中主要和新兴的DBS目标.
- 讨论治疗机制,技术进步和DBS在DRE的未来方向.
主要方法:
- 叙述性综述整合了随机对照试验和观察性研究的数据.
- 分析先进的成像,传感技术和连接映射.
- 讨论治疗机制,包括细胞和网络调制.
主要成果:
- DBS是一种成熟的神经调节疗法,用于DRE.
- 关键目标包括前丘脑核,中枢核,海马和脉核.
- 传感和闭环系统的进步显示了个性化治疗的前景.
结论:
- 当手术不可行时,DBS是一种有价值的,可逆的DRE治疗方法.
- 了解网络调制和神经可塑性是优化DBS疗效的关键.
- 未来的研究应该专注于改进目标,增强传感技术和开发闭环系统,以改善临床结果.
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