脑深部电刺激治疗运动障碍的并发症:文献回顾和个人经验。

Q2 Medicine
Chingiz Shashkin
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引用次数: 0

摘要

当代深部脑刺激(DBS)技术对运动障碍(包括帕金森病、全身性肌张力障碍和震颤)的治疗非常有效,并且已经成功地应用于新的适应症(例如,难治性癫痫和慢性疼痛)。因此,在世界范围内进行了越来越多的DBS手术;相应的,相关的发病率也增加了。DBS的所有并发症可分为与(1)手术过程有关的并发症,(2)设备本身,(3)所施加的电刺激。根据对现有文献的分析和作者的个人经验,可以得出结论,植入DBS装置是一种相对安全的手术,伴有非常低的重大发病率或永久性神经功能障碍的风险。然而,认识到可能的并发症并采取适当的预防措施以避免其发生,对于提供安全有效的治疗是非常重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complications of Deep Brain Stimulation for Movement Disorders: Literature Review and Personal Experience.

The contemporary technique of deep brain stimulation (DBS) is very effective for management of movement disorders-including Parkinson's disease, generalized dystonia, and tremors-and has also been successfully applied for novel indications (e.g., intractable epilepsy and chronic pain). As a result, growing numbers of DBS procedures have been performed worldwide; correspondingly, the incidence of associated morbidity has also increased. All complications of DBS can be divided into those associated with (1) the surgical procedure, (2) the device itself, and (3) the applied electrical stimulation. On the basis of an analysis of the available literature and the personal experience of the author, it may be concluded that implantation of a DBS device is a relatively safe procedure accompanied by very low risks of major morbidity or a permanent neurological deficit. Nevertheless, awareness of the possible complications and application of appropriate preventive measures for their avoidance are very important for providing safe and effective treatment.

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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
2
期刊介绍: In addition to the regular journal, "Acta Neurochirurgica" publishes 3-4 supplement volumes per year. These comprise proceedings of international meetings or other material of general neurosurgical interest.
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