Intracranial Neuromodulation for Neurologic Recovery

Angela Madira, Muhib Khan, Rushna Ali
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Abstract

Neurologic insults (traumatic brain injuries, strokes, and spinal cord injuries) profoundly influence motor, cognitive, and psychological functions. Current medical and surgical therapies are often insufficient to address the functional deficits from these injuries. Intracranial neuromodulation, specifically deep brain stimulation (DBS) and motor cortex stimulation (MCS), has been studied to improve these deficits. Preclinical results demonstrate that DBS and MCS effectively potentiate the sequalae of neurologic insult. Clinical evidence is limited, but existing reports and clinical trials show the promising therapeutic potential of intracranial neuromodulation. Further study of intracranial neuromodulation treatment is warranted, with greater attention to confounding variables and methodology.
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颅内神经调控促进神经功能恢复
神经系统损伤(脑外伤、中风和脊髓损伤)对运动、认知和心理功能产生深远影响。目前的药物和手术疗法往往不足以解决这些损伤造成的功能障碍。颅内神经调控,特别是脑深部刺激(DBS)和运动皮层刺激(MCS),已被用于改善这些功能障碍。临床前研究结果表明,脑深部刺激(DBS)和运动皮层刺激(MCS)能有效增强神经损伤的后遗症。临床证据有限,但现有报告和临床试验显示颅内神经调控具有良好的治疗潜力。有必要对颅内神经调控治疗进行进一步研究,并对混杂变量和方法给予更多关注。
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