Document Detail

Role of stereotaxis in the treatment of cerebral palsy.
MedLine Citation:
PMID:  8959461     Owner:  NLM     Status:  MEDLINE    
There is a renewed interest in basal ganglia surgery for improvement of motor symptoms in cerebral palsy. Rigidity, choreoathetosis, and tremor can be improved or abolished by a well-placed radiofrequency lesion, either in the ventrolateral nucleus of the thalamus or ventroposterior pallidum. The target is chosen based on the predominance of the symptoms in a given patient. A review of the main reports on surgery of the basal ganglia for cerebral palsy, as well as the author's data, shows that the surgery can have a remarkable impact on patients' quality of life when motor dysfunction is improved. An update of the physiopathology of cerebral palsy motor symptoms related to anatomic findings on experimental work, magnetic resonance imaging, and autopsy is used to rationalize surgery of the basal ganglia. Modern stereotactic technique based on exquisite demonstration of the basal ganglia anatomy by magnetic resonance imaging is described and supported by intraoperative electricophysiologic studies. The author stresses the importance of a multidisciplinary approach to provide the cerebral palsy patient with a comprehensive treatment plan before stereotactic surgery.
A A De Salles
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of child neurology     Volume:  11 Suppl 1     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-02-27     Completed Date:  1997-02-27     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S43-50     Citation Subset:  IM    
Division of Neurosurgery, University of California Los Angeles School of Medicine 90024-6975, USA.
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MeSH Terms
Basal Ganglia / surgery*
Cerebral Palsy / classification,  surgery*
Child, Preschool
Follow-Up Studies
Stereotaxic Techniques*
Treatment Outcome

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