儿童脑内神经调节的个性化特别考虑
1Department of Pediatrics, Division of Pediatric Neurology, Childrens Medical Center Dallas, UTSW, Dallas, Texas, U.S.A.
概括
对于已批准用于成人的神经调节疗法来说,儿科耐药性 (DRE) 是一个挑战. 本综述探讨了内神经调节的选择及其在患有DRE的儿童中的应用.
科学领域:
- 神经学
- 神经外科
- 儿童
背景情况:
- 儿童的耐药性 (DRE) 带来了重大管理挑战.
- 神经调节疗法通常被批准用于成年人,需要仔细考虑儿童使用.
研究的目的:
- 审查目前儿童DRE内神经调节的情况.
- 突出儿童神经调节的证据,特殊情况和新兴趋势.
主要方法:
- 小儿神经调节研究的文献综述.
- 讨论儿童发育和性脑病的唯一随机临床试验.
- 在胸膜核中探索立体EEG以进行手术前监测.
主要成果:
- 有限但越来越多的证据支持儿童DRE的神经调节.
- 这是个性化治疗的新兴趋势.
- 儿童DRE的非标签使用面临保险批准的障碍.
结论:
- 脑内神经调节提供了儿童DRE的潜力, 但需要谨慎应对挑战.
- 通过先进的监测来进行个性化治疗,
- 解决保险和监管方面的问题对于更广泛的采用至关重要.
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