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- Ahlsten, Gunnar, 1948-, et al.
(författare)
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Dorsal Rhizotomy for Spasticity Management in Cerbral Palsy
- 2018
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Ingår i: Cerebral Palsy. - Cham : Springer International Publishing AG. ; , s. 1-10
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Bokkapitel (refereegranskat)abstract
- Selective dorsal rhizotomy (SDR) is a neurosurgical procedure for the relief of spasticity interfering with motor function in children with spastic cerebral palsy (CP). The goal of the treatment is to improve function as well as reduce pain and discomfort related to severely increased spasticity. SDR is an ablative procedure that results in lifelong effects on function in the central nervous system. One must also be aware that performing SDR does not guarantee that other treatments for spasticity or orthopedic corrective procedures can be avoided. For SDR to be an effective treatment, it must be combined with specific physiotherapy over a long period of time. Today there exists a good body of evidence that SDR is an effective means of treating patients with the CP subtype spastic diplegia, as long as selection criteria are rigorously adhered to. The procedure is also safe with little risk of short or long-term complications. Further studies on long-term effects late in adulthood will show if the treatment effects are stable over time.
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| 3. |
- Hariz, Marwan I, et al.
(författare)
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A quick and universal method for stereotactic visualization of the subthalamic nucleus before and after implantation of deep brain stimulation electrodes
- 2003
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Ingår i: Stereotactic and Functional Neurosurgery. - : S. Karger AG. - 1011-6125 .- 1423-0372. ; 80:1-4, s. 96-101
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Tidskriftsartikel (refereegranskat)abstract
- For deep brain stimulation (DBS) of the subthalamic nucleus (STN), it would be an advantage if the STN could be visualized with fast acquisition of MR images, allowing direct and individual targeting. We present a protocol for T2-weighted, nonvolumetric fast-acquisition MRI, implemented at 8 centers in 6 countries. Acquisition time varied between 3 min 5 s and 7 min 48 s according to the center, and imaging often provided visualization of the STN on axial and coronal scans. Postoperatively, the same imaging protocol permitted visualization of the target area and DBS electrodes with minimum artifacts. This imaging technique may contribute to a decrease in the number of electrode passes at surgery.
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