MRI-guided stereotactic thalamotomy for cerebral palsy patients with mixed dyskinesia

The author has performed 108 stereotactic thalamotomies using MRI (MGSTs) without ventriculography in 77 cerebral palsy (CP) patients with dyskinesia(s) from January 1992 to January 1997. The clinical results were verified in terms of improvement of major preoperative symptom and patient's (or relative's) satisfaction using pre- and postoperative video recording and simple questionnaires. The results were as follows: excellent in 12 MGSTs, good in 69 and fair in 27. Postoperative morbidity was transient in all patients except for 2. Recurrences were noted in 6 MGSTs (5.6%). There was no death. MGST is thus a beneficial procedure for reducing dyskinetic symptom(s) of CP patients.