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Study on the thalamo-cortical dysrhythmia as a pathophysiological basic mechanism of intractable functional disorders and on the application for the treatment

Research Project

Project/Area Number 26462199
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionGunma University

Principal Investigator

Hirato Masabumi  群馬大学, 大学院医学系研究科, 准教授 (00173245)

Co-Investigator(Kenkyū-buntansha) 宮城島 孝昭  群馬大学, 大学院医学系研究科, 助教 (40625365)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2014: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords難治性機能的脳疾患 / 視床-皮質律動異常 / 皮質機能断端効果 / 機能神経外科学 / 視床自発神経活動 / 大脳皮質運動感覚野 / 機能脳神経外科学 / 視床皮質律動異常 / 低周波干渉 / 視床 / 定位脳手術 / 微小電極法 / 中枢性脳血管障害後疼痛 / 運動異常症
Outline of Final Research Achievements

Study on the thalamo-cortical dysrhythmia as a pathophysiological basic mechanism of the intractable functional disorders was carried out. Electrophysiological studies were performed on the sensory thalamus in patients with central post-stroke pain (CPSP) treated by thalamic stimulation. Mild to severe functional changes of the spino -thalamo-cortical system were found in patients with CPSP. These functional changes, detected as focal hyperactivity or electrical instability around the cerebrovascular disease lesion, may affect perception or conduction of sensory impulses in the thalamus. Adequate and long-term pain relief was obtained by electrical stimulation of the areas where burst discharges were frequently encountered in the sensory thalamus. Electrical modulation of the burst discharges induced improvement of symptom (pain), which was considered one of the important basic mechanisms of the thalamo-cortical dysrhythmia.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (21 results)

All 2017 2016 2015 2014

All Journal Article (6 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 4 results,  Acknowledgement Compliant: 2 results) Presentation (13 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results) Book (2 results)

  • [Journal Article] Transduction Profile of the Marmoset Central Nervous System Using Adeno-Associated Virus Serotype 9 Vectors2016

    • Author(s)
      Matsuzaki Y, Konno A, Mukai R, Honda F, Hirato M, Yoshimoto Y, Hirai H.
    • Journal Title

      Molecular Neurobiology

      Volume: in press Issue: 3 Pages: 1-16

    • DOI

      10.1007/s12035-016-9777-6

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Transduction Profile of the Marmoset Central Nervous System Using Adeno-Associated Virus Serotype 9 Vectors2016

    • Author(s)
      Matsuzaki Y, Konno A, Mukai R, Honda F, Hirato M, Yoshimoto Y,Hirai H
    • Journal Title

      Molecular Neurobiology

      Volume: -

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Resection extent of the supplementary motor area and post-operative neurological deficits in glioma surgery2016

    • Author(s)
      Ibe Y, Tosaka M, Horiguchi K, Sugawara K, Miyagishima T, Hirato M, Yoshimoto Y
    • Journal Title

      Br J Neurosurg

      Volume: 13 Issue: 3 Pages: 1-7

    • DOI

      10.3109/02688697.2015.1133803

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Microrecording and image-guided stereotactic biopsy of deep-seated brain tumors2015

    • Author(s)
      Iijima K, Hirato M, Miyagishima T, Horiguchi K, Sugawara K, Hirato J, Yokoo H, Yoshimoto Y
    • Journal Title

      Journal of Neurosurgery

      Volume: 122 Issue: 4 Pages: 978-988

    • DOI

      10.3171/2014.10.jns14963

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 振戦の外科治療 専門医に求められる最新の知識:機能外科2014

    • Author(s)
      平戸政史
    • Journal Title

      脳神経外科速報

      Volume: 24 Pages: 1107-1114

    • Related Report
      2014 Research-status Report
  • [Journal Article] PET 『痛みのマネージメント update』 II. 痛みの診断・評価法 痛みの画像検査ならびに誘発電位2014

    • Author(s)
      平戸政史
    • Journal Title

      日本医師会雑誌

      Volume: 143

    • Related Report
      2014 Research-status Report
  • [Presentation] 振戦に対する視床腹中間核最外側部凝固術2017

    • Author(s)
      平戸政史
    • Organizer
      第56回日本定位・機能神経外科学会
    • Place of Presentation
      大阪コングレコンベンションセンター
    • Year and Date
      2017-01-27
    • Related Report
      2016 Annual Research Report
  • [Presentation] 中枢性脳卒中後疼痛の成因としての視床感覚核脊髄視床皮質路の局所活動異常2016

    • Author(s)
      平戸政史
    • Organizer
      第75回日本脳神経外科学会学術総会
    • Place of Presentation
      福岡国際会議場
    • Year and Date
      2016-09-30
    • Related Report
      2016 Annual Research Report
  • [Presentation] Hyperactivity of spinothalamic system around cerebro-vascular lesion on the sensory thalamus in the genesis of central post-stroke pain2016

    • Author(s)
      Masafumi Hirato
    • Organizer
      16th World Congress of International Association for the Study of Pain(IASP)
    • Place of Presentation
      Pacifico Yokohama
    • Year and Date
      2016-09-28
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 定位・機能神経外科2016

    • Author(s)
      平戸政史
    • Organizer
      第19回日本臨床脳神経外科学会
    • Place of Presentation
      ホテルガーデンパレス熊谷
    • Year and Date
      2016-07-24
    • Related Report
      2016 Annual Research Report
  • [Presentation] 中枢性脳卒中後疼痛の成因 -視床感覚核脊髄視床皮質路の局所的活動亢進2016

    • Author(s)
      平戸政史
    • Organizer
      第38回日本疼痛学会
    • Place of Presentation
      北海道立道民活動センターかでる2・7
    • Year and Date
      2016-06-24
    • Related Report
      2016 Annual Research Report
  • [Presentation] Stereotactic selective Vim thalamotomy for tremor with aid of depth microrecording - minimal and essential thalamic area ameliorating for tremor2016

    • Author(s)
      Masafumi Hirato, Takaaki Miyagishima, Akio Takahashi, Yuhei Yoshimoto
    • Organizer
      9th Catholic International Neurosurgery Update Symposium
    • Place of Presentation
      Catholic University of Korea
    • Year and Date
      2016-02-13
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Maintaining and mediating system of tremor -Rationale of stereotactic selective Vim thalamotomy for tremor-2016

    • Author(s)
      Masafumi Hirato, Takaaki Miyagishima, Akio Takahashi, Yuhei Yoshimoto
    • Organizer
      9th Catholic International Neurosurgery Update Symposium
    • Place of Presentation
      Catholic University of Korea
    • Year and Date
      2016-02-13
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 本態性振戦、振戦優位パーキンソン病に対する選択的視床腹中間核凝固術 -長期成績、及び振戦治療に必要な最小、かつ本質的視床部位-2016

    • Author(s)
      平戸政史
    • Organizer
      第55回日本定位・機能神経外科学会
    • Place of Presentation
      江陽グランドホテル
    • Year and Date
      2016-01-23
    • Related Report
      2015 Research-status Report
  • [Presentation] 中枢性脳卒中後疼痛の成因2015

    • Author(s)
      平戸政史
    • Organizer
      第74回日本脳神経外科学会学術総会
    • Place of Presentation
      ロイトン札幌
    • Year and Date
      2015-10-15
    • Related Report
      2015 Research-status Report
  • [Presentation] 中枢性脳卒中後疼痛の解剖学的成因2015

    • Author(s)
      平戸政史
    • Organizer
      第37回日本疼痛学会
    • Place of Presentation
      市民会館崇城大学ホール
    • Year and Date
      2015-07-03
    • Related Report
      2015 Research-status Report
  • [Presentation] 中枢性脳卒中後疼痛に対する微小電気電極法を用いた病態解析に基づく視床刺激術2015

    • Author(s)
      平戸政史
    • Organizer
      第54回日本定位・機能神経外科学会
    • Place of Presentation
      都市センターホテル
    • Year and Date
      2015-01-17
    • Related Report
      2014 Research-status Report
  • [Presentation] 中枢性脳血管障害後疼痛に対する個々の視床病態に基づいた視床手術2014

    • Author(s)
      平戸政史
    • Organizer
      第73回日本脳神経外科学会学術総会
    • Place of Presentation
      高輪プリンスホテル
    • Year and Date
      2014-10-09
    • Related Report
      2014 Research-status Report
  • [Presentation] 視床神経活動記録、微小電気刺激による病態解析に基づいた中枢性脳血管障害後疼痛に対する視床手術2014

    • Author(s)
      平戸政史
    • Organizer
      第36回日本疼痛学会
    • Place of Presentation
      KKRホテル大阪
    • Year and Date
      2014-06-21
    • Related Report
      2014 Research-status Report
  • [Book] 難治性疼痛に対する視床刺激法(DBS) 視床腹中間核-小細胞性腹尾側核-外側中心核刺激術 新NS NOW “痛みの手術“2016

    • Author(s)
      平戸政史、好本裕平
    • Total Pages
      140
    • Publisher
      株)メジカルレビュー社
    • Related Report
      2015 Research-status Report
  • [Book] 中枢神経障害性疼痛(Central neuropathic pain) 神経症候群 VI -その他の神経疾患を含めて- 第2版 XV 頭痛 4. Painful cranial neuropathies and other facial pains2014

    • Author(s)
      平戸政史
    • Total Pages
      912
    • Publisher
      日本臨床社
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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