Motor and Psychological Responses to Deep Cerebellar Stimulation in Cerebral Palsy (Correlation with Organization of Cerebellum Into Zones)

Galanda, M; Zoltán, Ö.T.

doi:10.1007/978-3-7091-8909-2_34

Cited by 11 publications

(10 citation statements)

References 3 publications

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“…The effect of the stimulation from one side of the paramedian area of the spinocerebellum is bilateral ( fig. 2), but previously we found [2] that bilateral stimulation has more profound efficacy. If electrodes are implanted from both sides bilaterally, the target points are moved 1 mm lateral from the midline, and there is a 2-mm gap between the tips of the electrodes.…”

Section: Methodsmentioning

confidence: 81%

“…motor jerk. The underlying rationale was based on our experience [2,3] suggesting that if the motor response is observed during the test, and the contacts of the electrode are in position, an effective chronic stimulation program for treatment of disabling motor symptoms can be achieved. The effect of the stimulation from one side of the paramedian area of the spinocerebellum is bilateral ( fig.…”

Section: Methodsmentioning

confidence: 99%

“…The radiofrequency system TESLA LSP 330 was used in 30 patients. Although benefits such as reduction of spasticity and improvement in motor performance were obtained during the course of chronic stimulation [2,3], radioreceiver malfunction occurred within 16 months. The sophisticated, totally implantable Medtronic system for deep brain stimulation was not convenient for the transtentorial approach, but direct suboccipital implantation of the electrodes into subcortical regions of the anterior lobe of the cerebellum is possible.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Stereotactic High-Frequency Stimulation in the Anterior Lobe of the Cerebellum in Cerebral Palsy: A New Suboccipital Approach

Galanda¹,

Horvath²

2003

Stereotact Funct Neurosurg

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The direct stereotactic suboccipital approach to the anterior lobe of the cerebellum was applied for deep high-frequency stimulation in three patients (for 29, 8 and 3 months) suffering from cerebral palsy. In agreement with our previous experience with a transtentorial approach in 30 patients, spasticity, dyskinesias and behavior were improved during chronic intermittent stimulation (frequency 185 Hz, pulse width 210 µs, voltage individually altered according to motor response at 0.5–4.0 V, 15 min on, 2–6 h off). Patients attained useful motor skill improvements. The results indicate that the method is safe, effective and reasonable.

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Section: Methodsmentioning

confidence: 81%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Stereotactic High-Frequency Stimulation in the Anterior Lobe of the Cerebellum in Cerebral Palsy: A New Suboccipital Approach

Galanda¹,

Horvath²

2003

Stereotact Funct Neurosurg

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“…Regarding non-invasive stimulation, transcranial magnetic stimulation [ 131 , 132 , 133 , 134 ] of the cerebellum temporarily alleviates dystonia, although the results of direct current stimulation [ 135 , 136 , 137 ] are controversial. Invasive cerebellar stimulation has been reported to be effective in secondary dystonia patients since the 1950s [ 138 , 139 , 140 , 141 , 142 , 143 , 144 , 145 , 146 , 147 , 148 , 149 , 150 , 151 , 152 , 153 ]. Cooper et al used anterior lobe stimulation for cerebral palsy and dystonia [ 140 , 154 , 155 ].…”

Section: Research Regarding the Role Of The Cerebellum In Dystonia Genesismentioning

confidence: 99%

Dystonia and Cerebellum: From Bench to Bedside

Morigaki

Miyamoto

Matsuda

et al. 2021

Life

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Dystonia pathogenesis remains unclear; however, findings from basic and clinical research suggest the importance of the interaction between the basal ganglia and cerebellum. After the discovery of disynaptic pathways between the two, much attention has been paid to the cerebellum. Basic research using various dystonia rodent models and clinical studies in dystonia patients continues to provide new pieces of knowledge regarding the role of the cerebellum in dystonia genesis. Herein, we review basic and clinical articles related to dystonia focusing on the cerebellum, and clarify the current understanding of the role of the cerebellum in dystonia pathogenesis. Given the recent evidence providing new hypotheses regarding dystonia pathogenesis, we discuss how the current evidence answers the unsolved clinical questions.

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“…Other groups have continued these lines of investigation, reporting small series of patients who have had deep cerebellar stimulators inserted into the superior cerebellar peduncle [46,47] or the dentate nucleus [48], both major sources of cerebellar outflow. Although these studies are promising, they await replication in larger populations.…”

Section: Cerebellar Stimulation For Epilepsymentioning

confidence: 99%

Irving S. Cooper and His Role in Intracranial Stimulation for Movement Disorders and Epilepsy

Rosenow

Das

Rovit

et al. 2002

Stereotact Funct Neurosurg

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Dr. Irving Cooper (1922–1985) was a pioneer in the field of functional neurosurgery. After years of treating patients with tremor by creating deep lesions with either anterior choroidal artery ligation or cryogenic thalamotomy, he began to utilize methods of electrical cerebral stimulation as treatment for a variety of disorders. Chronic cerebellar stimulation was employed for patients with epilepsy, cerebral palsy, and dystonia. While Dr. Cooper believed his results to be significant, there still remain many challenges to his claims. Later in his career, he placed deep brain electrodes in the internal capsule and thalamus for epilepsy and dystonia. His encouraging results from this small series were often overlooked. This paper reviews the science behind Dr. Cooper’s work, his case series, and the controversies surrounding his results.

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Motor and Psychological Responses to Deep Cerebellar Stimulation in Cerebral Palsy (Correlation with Organization of Cerebellum Into Zones)

Cited by 11 publications

References 3 publications

Effect of Stereotactic High-Frequency Stimulation in the Anterior Lobe of the Cerebellum in Cerebral Palsy: A New Suboccipital Approach

Effect of Stereotactic High-Frequency Stimulation in the Anterior Lobe of the Cerebellum in Cerebral Palsy: A New Suboccipital Approach

Dystonia and Cerebellum: From Bench to Bedside

Irving S. Cooper and His Role in Intracranial Stimulation for Movement Disorders and Epilepsy

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