用先前植入的响应神经刺激装置进行激光间歇性热疗法:一个多中心体验. 有关案例说明的例子
Stephen Jaffee1, Jordan Iordanou2, Trent Kite1
1Department of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, Pennsylvania.
Journal of neurosurgery. Case lessons
|January 22, 2026
概括
激光间歇性热疗法 (LITT) 与响应性神经刺激 (RNS) 结合,为管理提供了一种有前途的方法. 这种微创手术成功地减少了两名具有现有RNS系统的患者的发作.
科学领域:
- 神经外科 神经外科
- 症管理 症管理
- 最少侵入性的治疗方法
背景情况:
- 响应神经刺激 (RNS) 监测两个大脑区域的发作.
- 激光间歇性热疗法 (LITT) 治疗时间性.
- 将LITT与现有的RNS相结合,会带来一些挑战.
研究的目的:
- 在RNS患者中提出LITT的微创手术方法.
- 评估LITT的安全性和可行性,同时保持RNS功能.
主要方法:
- 两名患有双性RNS的患者接受了单方面LITT,针对主要的发作发作区域.
- 手术规划考虑了RNS硬件和MRI安全限制.
- LITT是在俯卧姿势下进行的.
主要成果:
- 两位患者在术后都保持了功能性的RNS系统.
- 没有报告任何并发症.
- 技术上成功的激光切除显示了令人鼓舞的早期发作自由.
结论:
- 在患有先前存在的RNS系统的患者中,LITT可以安全地进行.
- 仔细考虑硬件和MRI协议至关重要.
- 这种综合方法是针对的有希望的选择.
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