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微电极引导偏侧帕金森病猴脑深部电极植入方法的研究
  • ISSN号:1009-122X
  • 期刊名称:中国微侵袭神经外科杂志
  • 时间:2012.1.1
  • 页码:32-35
  • 分类:R-33[医药卫生] R742.5[医药卫生—神经病学与精神病学;医药卫生—临床医学]
  • 作者机构:[1]第四军医大学唐都医院神经外科,西安710038
  • 相关基金:国家863专题项目(编号:2006AA04Z370); 国家自然科学基金重点项目(编号:30930095)
  • 相关项目:帕金森病异常症状的同步振荡和随机共振机制
中文摘要:

目的微电极记录(MER)联合MRI建立丘脑底核偏侧帕金森病猴脑深部电刺激(DBS)模型。方法 4只恒河猴在DSA下经一侧颈内动脉注射MPTP制作偏侧帕金森病模型,采用Kurlan Scale量表及阿扑吗啡实验评估模型效果。3.0T MRI扫描数据输入Leksell系统预定靶点坐标值,MER记录双侧丘脑底核电信号,确定靶点,植入电极并固定。术后MRI查看电极位置。结果 Kurlan Scale量表评分和阿扑吗啡实验表明:偏侧帕金森病模型建立成功。MER记录到两侧丘脑底核放电,且给药侧放电频率明显高于给药对侧(P〈0.01);其修正MRI预定坐标值,术后MRI复查电极末端均位于丘脑底核内。结论 MER是MRI显影不清时丘脑底核定位的必要补充,MER联合MRI可以成功建立定位精确的丘脑底核偏侧帕金森病猴DBS模型。

英文摘要:

Objective To establish deep brain stimulation (DBS) model of the subthalamic nucleus (STN) in monkeys with hemiparkinsonism by microelectrode recording (MER) and MRI. Methods MPTP was injected into the unilateral internal carotid in 4 rhesus macaques under DSA to establish hemiparkinsonism model, and the model result was evaluated by Kurlan Scale and apomorphine test. The target coordinate was reserved by 3.0T MRI scan data input Leksell system. MER recorded electrical signal of bilateral STN and determined the target, then the electrode was implanted and fLxed according to the data of MER. The electrode position was checked by MRI postoperatively. Results Kurlan Scale scores and apomorphine test showed that the hemiparkinsonism model was established successfully. MER recorded the electrical discharge of bilateral STN, and the rate of electrical discharge at the side with MPTP injection was obviously higher than that at the other side (P〈0.01). The reserved coordinate by MRI was revised by MER, and all the ends of electrodes were situated in the STN by MRI postoperatively. Conclusions MER is a necessary complement to locating the STN when the MRI image is obscure. DBS model of the STN in monkeys with hemiparkinsonism can be successfully established by MER combined with MRI.

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期刊信息
  • 《中国微侵袭神经外科杂志》
  • 中国科技核心期刊
  • 主管单位:广州军区联勤部卫生部
  • 主办单位:广州军区广州总医院
  • 主编:王伟民
  • 地址:广东省广州市流花路111号
  • 邮编:510010
  • 邮箱:cminsj@vip.163.com
  • 电话:020-36654596
  • 国际标准刊号:ISSN:1009-122X
  • 国内统一刊号:ISSN:44-1459/R
  • 邮发代号:46-217
  • 获奖情况:
  • 国内外数据库收录:
  • 美国化学文摘(网络版),波兰哥白尼索引,美国乌利希期刊指南,中国中国科技核心期刊,中国北大核心期刊(2008版)
  • 被引量:10810