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Uticaj Transkranijalne Magnetne Stimulacije Na Kliničke Znake I Elektrofiziološke Parametre Kod Obolelih Od Parkinsonove Bolesti

A. Kačar
Published 2013 · Physics

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REZIME Cilj rada. Cilj ovog rada je analiza promena ekscitabilnosti i kortikalnog plasticiteta kod pacijenata obolelih od Parkinsonove bolesti (PB) uslovljenih primenom facilitatornog PAS 25 protokola u zavisnosti od primenjene terapije. Materijal i metode. Pregledano je 30 pacijenta obolelih od PB, i to po 10 pacijenata sa novonastalom PB, 10 pacijenata sa DKPB, bez i sa terapijom i po 10 pacijenata sa Ldopa indukovanim diskinezijama, bez i sa terapijom. Kontrolnu grupu je cinilo 10 zdravih ispitanika koji su upareni sa pacijentima po starosti i polu. Plasticitet i stepen ekscitabilnosti je ispitivan na vise zahvacenoj strani u u regionu za saku motornog korteksa primenom uparene asocijativne stimulacije, kao modela transkranijalne magnetne stimulacije (TMS). Rezultati. Sve grupe pacijenata su, u odnosu na KG, pokazale postojanje deficita LTP – slicnog plasticiteta. Manji nagib krive regrutacije na visim intenzitetima TMS stimulacije je bio prisutan u svim grupama, kratka intrakortikalna inhibicija je bila manja u grupi pacijenata sa novonastom PB i grupi sa diskinezijama, dok je kratka aferentna inhibicija bila ostecena na pocetku bolesti. LTP plasticitet koji je narusen i na pocetku bolesti, ostaje oslabljen nezavisno od primenjene terapije. Zakljucak. Redukovana ekscitabilnost uslovljena PAS protokolom može biti fizioloski marker prisustva patoloskih promena kod PB. Takođe, dugotrajno lecenje ne menja bitno patofizioloske procese koji su u osnovi ove bolesti.
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