Neurosurgical treatment of movement disorders because of infantile cerebral paralysis
https://doi.org/10.17650/1683-3295-2013-0-3-30-40
Abstract
The movement disorders present the serious clinical problem in treatment of patients with infantile cerebral paralysis (ICP). These movement disorders are the cause of orthopedic contractures and deformities as well as failure of the rehabilitation treatment. The low effectiveness of conservative treatment is often occurred in such patients and requires neurosurgical treatment in some cases. Nowadays there are two group of neurosurgical operations used for treatment of movement disorders at patients with ICP: destructive operations and neuromodulation surgery. The destructive surgery is based on the destruction of certain structures of nervous system taking part in maintaining of movement disorders and includes the following operations: selective dorsal rhizotomy at lumbar and cervical level of spinal cord, selective neurotomy, stereotactic destruction of deep brain structures. The neuromodulation surgery is based on depression of abnormal neuronal activity by using of high frequency electrical stimulation or drug infusion and includes such operations as chronic stimulation of spinal cord and stimulation of deep brain structures, chronic intrathecal baclofen therapy. Each operation has a specified indication according to severity and type of movement disorders.
About the Authors
A. V. Dekopov
НИИ нейрохирургии им. акад. Н.Н. Бурденко РАМН
Russian Federation
Russian Federation
V. A. Shabalov
НИИ нейрохирургии им. акад. Н.Н. Бурденко РАМН
Russian Federation
Russian Federation
A. A. Tomsky
НИИ нейрохирургии им. акад. Н.Н. Бурденко РАМН
Russian Federation
Russian Federation
E. M. Salova
НИИ нейрохирургии им. акад. Н.Н. Бурденко РАМН
Russian Federation
Russian Federation
M. A. Khit
НИИ нейрохирургии им. акад. Н.Н. Бурденко РАМН
Russian Federation
Russian Federation
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Review
For citations:
Dekopov A.V., Shabalov V.A., Tomsky A.A., Salova E.M., Khit M.A. Neurosurgical treatment of movement disorders because of infantile cerebral paralysis. Russian journal of neurosurgery. 2013;(3):30-40. (In Russ.) https://doi.org/10.17650/1683-3295-2013-0-3-30-40
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