Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Videos

Stereotactic surgery for cerebral palsy.

H Trejos¹, R Araya

¹Department of Neurosurgery, National Children's Hospital, Costa Rica.

Stereotactic and Functional Neurosurgery

|January 1, 1990

Summary

Stereotactic surgery improved motor function in over 80% of cerebral palsy patients. This study reviewed 38 cases, detailing functional gains after targeting specific brain nuclei for spasticity, athetosis, and dystonia.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Understanding the complex relationship between multidimensional poverty and depressive symptoms among young South Africans: A cross-sectional study.

Journal of affective disorders·2022

Same author

Implementation and scalability of a digital intervention to reduce depressive symptoms in people with diabetes, hypertension or both in Brazil and Peru: a qualitative study of health system's stakeholders' perspectives.

Discover mental health·2022

Same author

A pilot study of a stepped-care brief intervention to help psychologically-distressed women displaced by conflict in Bogotá, Colombia.

Global mental health (Cambridge, England)·2020

Same author

Substance use among HIV-infected adolescents in Uganda: rates and association with potential risks and outcome factors.

AIDS care·2020

Same author

Molecular epidemiology and antimicrobial resistance of Clostridium difficile in a national geriatric hospital in Costa Rica.

The Journal of hospital infection·2018

Same author

Monitoring and evaluating capacity building activities in low and middle income countries: challenges and opportunities.

Global mental health (Cambridge, England)·2017

Area of Science:

Neurosurgery
Neurology
Rehabilitation Medicine

Background:

Cerebral palsy presents complex motor disorders including spasticity, athetosis, dystonia, and tremor.
Stereotactic surgery offers a potential therapeutic avenue for managing severe motor impairments in cerebral palsy.

Purpose of the Study:

To evaluate the efficacy of stereotactic surgery in improving functional outcomes for patients with cerebral palsy.
To analyze the relationship between targeted brain nuclei and specific motor disorder improvements.

Main Methods:

Review of 38 patients undergoing stereotactic surgery for cerebral palsy.
Performance of 109 stereotactic lesions across 67 targeted nuclei.
Inclusion of targets such as the pulvinar, ventrolateral (VL), sub-VL, and cerebellar dentate nuclei, individually or in combination.
Objective functional assessment using a task achievement scale.

Main Results:

Over 80% of patients demonstrated varying degrees of overall functional improvement post-surgery.
Specific improvements are detailed based on the targeted nuclei and the predominant motor disorder.
The study highlights the potential for significant functional gains through precisely targeted stereotactic interventions.

Conclusions:

Stereotactic surgery is an effective treatment for improving motor function in a majority of cerebral palsy patients.
Target selection based on the specific motor disorder is crucial for optimizing surgical outcomes.
Further research can refine targeting strategies for enhanced functional recovery in cerebral palsy.

Related Experiment Videos