Related Experiment Video
Updated: Jun 29, 2025
09:34
Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
22.1K
Cervical dorsal rhizotomy for upper limbs spasticity. Case report
Italo Teles de Oliveira Filho1,2, Paulo Cesar Romero3, Alexandre Pingarilho Rezende3
1Department of Neurosurgery, Hospital Sepaco, R. Vergueiro, 4210, Vila Mariana, São Paulo, 04102-900, Brazil. italo_teles@yahoo.com.br.
Acta Neurochirurgica
|March 28, 2024
Summary
Cervical dorsal rhizotomy (CDR) effectively treats severe upper limb spasticity from upper motor neuron syndrome. This neurosurgical procedure offers significant, sustained improvement with minimal complications, providing a new option for debilitating spasticity.
Area of Science:
- Neurosurgery
- Neurology
- Spasticity Management
Background:
- Spasticity, a common upper motor neuron syndrome symptom, severely impacts motor function, causing pain and contractures.
- Functional neurosurgery is vital for managing severe spasticity.
- While selective dorsal rhizotomy (SDR) is well-documented for lower limbs, cervical SDR literature for upper limb spasticity is limited.
Observation:
- This case report focuses on a cervical dorsal rhizotomy (CDR) procedure for managing upper limb spasticity.
- The patient experienced significant relief from spasticity following the CDR intervention.
Findings:
- The CDR procedure resulted in substantial and sustained improvement in upper limb spasticity.
- The treatment was associated with a low rate of complications, indicating a favorable safety profile.
Implications:
- Cervical dorsal rhizotomy (CDR) presents a viable neuroablative option for treating severe upper limb spasticity.
- This approach may offer significant functional recovery and pain relief for affected individuals.
- Further research into CDR for upper limb spasticity is warranted to establish its broader efficacy.
