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Neurosurgery for spasticity.

M P Sindou1, P Mertens

  • 1Department of Neurosurgery, Hôpital Neurologique P. Wertheimer, University of Lyon, France. marc.sindou@chu_lyon.fr

Stereotactic and Functional Neurosurgery
|March 30, 2001
PubMed
Summary
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Excessive spasticity can worsen motor disability. When conservative treatments fail, neurosurgery offers selective neuroablative procedures to reduce hypertonia while preserving function.

Area of Science:

  • Neurosurgery
  • Neurology
  • Rehabilitation Medicine

Background:

  • Spasticity often compensates for motor weakness but can become detrimental.
  • It can significantly aggravate motor disability.
  • Conservative treatments like physical therapy and medication may be insufficient.

Purpose of the Study:

  • To review neurosurgical options for managing severe spasticity.
  • To emphasize the importance of selectivity in neuroablative procedures.
  • To discuss various neuroablative techniques for spasticity control.

Main Methods:

  • Review of neurosurgical interventions for spasticity.
  • Discussion of selective neuroablative procedures.
  • Analysis of techniques targeting peripheral nerves, spinal roots, spinal cord, and DREZ lesions.

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Main Results:

  • Neurosurgical options include neurostimulation, intrathecal baclofen, and selective ablative procedures.
  • Selective neuroablative procedures aim to reduce hypertonia without compromising useful muscle tone or residual functions.
  • Lesions can be precisely targeted at different neurological levels.

Conclusions:

  • Neurosurgery is a viable option for refractory spasticity.
  • Selective neuroablative procedures are crucial for effective spasticity management.
  • Minimally invasive and targeted neuroablative techniques offer functional preservation.