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Deep brain stimulation in the management of disorders of consciousness: a review of physiology, previous reports, and ethical considerations

机译:深层脑刺激治疗意识障碍:生理学,以前的报告和伦理考虑的审查

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Patients suffering from disorders of consciousness constitute a population that exists largely outside of the daily practice patterns of neurosurgeons. Historically, treatment has focused on nursing and custodial issues with limited neurosurgical intervention. Recently, however, deep brain stimulation has been explored to restore cognitive and physical function to patients in minimally conscious states. In this article, the authors characterize the physiological mechanisms for the use of deep brain stimulation in persistently vegetative and minimally conscious patients, review published cases and associated ethical concerns, and discuss future directions of this technology.
机译:患有意识障碍的患者构成的人群主要存在于神经外科医生的日常实践模式之外。从历史上看,治疗一直集中在神经外科干预有限的护理和监护问题上。然而,近来,已经探索了深部脑刺激以恢复处于最低意识状态的患者的认知和身体功能。在本文中,作者描述了在植物性无意识和意识较弱的患者中使用深部脑刺激的生理机制,回顾了已发表的病例和相关的伦理问题,并讨论了该技术的未来发展方向。

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