Long-Term Assessment of Stereotactic Dentatotomy for Spasticity and Other Disorders

Siegfried, J.; Verdié, J. C.

doi:10.1007/978-3-7091-8482-0_6

Cited by 17 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In most cases, the lesion target is the putamen, globus pallidus, or thalamus and most studies report some improvement in motor function following lesions at any of these sites [Broggi et al, 1983;Ohye et al, 1983;Siegfried and Verdie, 1977;Speelman and van, 1989;Trejos and Araya, 1990]. Lesions of dentate nucleus have also been performed in cases of ataxic cerebral palsy, again with some apparent reduction in adverse symptomatology.…”

Section: Clinical Implications For Cerebral Palsymentioning

confidence: 95%

Pathophysiology of the corticospinal system and basal ganglia in cerebral palsy

Cheney

1997

Ment. Retard. Dev. Disabil. Res. Rev.

View full text Add to dashboard Cite

Section: Clinical Implications For Cerebral Palsymentioning

confidence: 95%

Pathophysiology of the corticospinal system and basal ganglia in cerebral palsy

Cheney

1997

Ment. Retard. Dev. Disabil. Res. Rev.

View full text Add to dashboard Cite

“…Although the complication rates are reported in the scientific liter ature as being very low [9,12,14], it is well known that longer convales cent periods and vegetative disturbances can result from any small en croachment into the ventricular system. Using the CT stereotactic technique, ventriculography and pneumencephalography are no longer necessary.…”

Section: Discussionmentioning

confidence: 99%

“…However, it has become evident that very good results were obtained mainly in cases of tetraspasticity following infantile cerebral palsy, as applies to choreoathetoses or double athetoses [4,14].…”

Section: Discussionmentioning

confidence: 99%

“…About 30 years after the first selective destruction of the dentate nucleus, performed in 1934 by Delmas-Marsalet and von Bogaert [2], a great number of dentatotomies for various indications were carried out particularly in the 1960's [5][6][7]9,12,14], Large control studies, as presented by Heimberger [5] and Sieg fried and Lazorthes [13], showed that late results obtained in cases of involuntary movement disorders cast doubts upon the success of den tatotomy. However, it has become evident that very good results were obtained mainly in cases of tetraspasticity following infantile cerebral palsy, as applies to choreoathetoses or double athetoses [4,14].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Computerized Tomography-Guided Stereotactic Dentatotomy

Weigel¹,

Mundinger²

1986

Stereotact Funct Neurosurg

View full text Add to dashboard Cite

The CT stereotactic technique of dentatotomy is described and illustrated with two examples. With this combined technique, ventriculography or pneumencephalography is no longer needed to determine the target point. In addition, due to the direct representation of anatomic structures in the CT, abnormal positions of the dentate nucleus may be taken into consideration in the determination of the target point and approach for the coagulation probe.

show abstract

“…There we found different target points according to different authors: VL-Virn [11], zona incerta [8], pulvinar [1,5], dentate nucleus and pulvinar [1,4], and dentate nucleus [1,6,20,21], In our series, based on the long experience of stereo tactic treatment of various kinds of tremor, selective Vim thalamotomy was done for the tremor-athetotic type cerebral palsy and VL-Vim thala motomy for the dystonia-tremor type. It was shown that the operation resulted in satisfactory improvement of motor performances after relief of tremor.…”

Section: Discussionmentioning

confidence: 99%

Stereotactic Selective Thalamotomy for the Treatment of Tremor Type Cerebral Palsy in Adolescence

et al. 1983

View full text Add to dashboard Cite

6 cases with tremor-athetotic type cerebral palsy and 2 cases with moderate dystonia-tremor type cerebral palsy were treated by selective stereotactic thalamotomy. In the former group, postural-movement type tremor in the upper limb gradually progressed with age while athetosis remained unchanged. In the latter group, dystonia in the truncal muscles predominated over the irregular tremulous movement of the upper limbs. In all cases, the intelligence was almost normal. Stereotactic selective thalamotomy (Vim for tremor athetosis, VL-Vim for dystonia tremor) was performed under local anesthesia with the aid of radiological and neurophysiological control methods. The results of the operations were satisfactory in regard to the tremor relief and concomitant improvement of motor performances in most of the cases. Stereotactic treatment might be an effective way to make possible a one-step progress in these handicapped cases. The importance of postoperative physical therapy is also emphasized.

show abstract

Long-Term Assessment of Stereotactic Dentatotomy for Spasticity and Other Disorders

Cited by 17 publications

References 12 publications

Pathophysiology of the corticospinal system and basal ganglia in cerebral palsy

Pathophysiology of the corticospinal system and basal ganglia in cerebral palsy

Computerized Tomography-Guided Stereotactic Dentatotomy

Stereotactic Selective Thalamotomy for the Treatment of Tremor Type Cerebral Palsy in Adolescence

Contact Info

Product

Resources

About