Control of post-stroke movement disorders using chronic motor cortex stimulation.
Control of post-stroke movement disorders using chronic motor cortex stimulation.
复制标题
使用慢性运动皮层刺激控制中风后运动障碍。
DOI：
10.1007/978-3-7091-6105-0_20
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
T. Yamamaoto
中科院分区：
文献类型：
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作者：
Yoichi Katayama;H. Oshima;C. Fukaya;T. Kawamata;T. Yamamaoto
本文分析了运动皮层（MC）刺激对50例脑卒中后运动障碍患者的疗效。这些人接受MC刺激主要是为了控制他们的中风后不自主运动（n = 8）或接受MC刺激的目的是控制他们的中风后中枢性疼痛（n = 42）。在后者患者中，回顾性分析了MC刺激对共存的不自主或自主运动障碍的影响。在3例偏侧舞蹈徐动症患者中观察到2例不自主运动控制良好，2例远端静息或动作震颤患者中观察到2例不自主运动控制良好，3例近端姿势震颤患者中观察到1例不自主运动控制良好。8例轻度运动无力患者报告了运动表现的主观改善，这些效果似乎可归因于刚性减弱。我们认为，这些发现证明进一步的临床研究MC刺激控制中风后运动障碍。
The effects of motor cortex (MC) stimulation on post-stroke movement disorders were analyzed in 50 patients. These individuals either underwent MC stimulation primarily for the purpose of controlling their post-stroke involuntary movements (n = 8) or underwent MC stimulation for the purpose of controlling their post-stroke central pain (n = 42). In the latter patients, the effects of MC stimulation on co-existent involuntary or voluntary movement disorders were analyzed retrospectively. Good control of involuntary movements was observed in 2 of 3 patients with hemichoreo-athetosis, 2 of 2 patients with distal resting or action tremor, and I of 3 patients with proximal postural tremor. Subjective improvements in motor performance were reported by 8 patients who had mild motor weakness, and the effects appeared to be attributable to attenuation of rigidity. We consider that these findings justify further clinical studies on MC stimulation for the control of post-stroke movement disorders.