Combined Transtentorial Dentatotomy With Pulvinarotomy in Cerebral Palsy

Galanda, M; Nádvorník, P; Šramka, M

doi:10.1007/978-3-7091-8482-0_4

Cited by 7 publications

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“…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

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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.

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