在脑性麻中,性和运动障碍
1, LaGrange Park, IL, USA. leland.albright@mac.com.
概括
对患有脑 (CP) 运动障碍的儿童进行神经外科治疗已经取得显著的进步. 选择性背脊根茎切除和内巴克洛芬等技术可以有效地控制性,改善患者的护理.
科学领域:
- 儿科神经外科 儿科神经外科
- 神经学 神经学
- 运动障碍 运动障碍
背景情况:
- 大脑 (CP) 是一组影响运动和姿势的疾病,通常伴有运动障碍.
- 神经外科干预已经发展到满足CP儿童的复杂需求.
研究的目的:
- 审查脑儿童运动障碍的历史和当前神经外科治疗方法.
- 为了评估几十年来各种神经外科手术方式的疗效.
主要方法:
- 对CP相关运动障碍的神经外科治疗的综合文献综述.
- 在评估治疗结果时,包括跨越三十年的临床经验.
主要成果:
- 外围神经切除术和选择性腰椎根茎切除术对于焦点和性抛光术是有效的.
- 甲内巴克洛芬输液显著缓解受影响四肢的性和普遍的 dystonia.
- 深度大脑刺激对通用性 dystonia 呈现轻微改善; 导管内巴克洛芬更有效.
- 据报道,无持续有效的神经外科治疗的athetoid CP;深度大脑刺激可能有利于choreiform CP.
结论:
- 儿童CP运动障碍的神经外科治疗在20世纪90年代加速发展,如背脊根茎切除和内巴克洛芬.
- 数万名儿童得到了治疗,将这些疗法整合到标准的儿科神经外科实践中.
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