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Selective dorsal rhizotomy in cerebral palsy spasticity - a newly established operative technique in Slovenia: A case report and review of literature

机译:选择性脊神经根切断术治疗脑瘫痉挛-斯洛文尼亚的一项新兴手术技术:一例病例并文献复习

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摘要

BACKGROUNDSpasticity affects a large number of children, mainly in the setting of cerebral palsy, however, only a few paediatric neurosurgeons deal with this problem. This is mainly due to the fact that until 1979, when Fasano has published the first series of selective dorsal rhizotomy (SDR), neurosurgeons were able to provide such children only a modest help. The therapy of spasticity has made a great progress since then. Today, peroral drugs, intramuscular and intrathecal medicines are available, that may limit the effects of the disease. In addition, surgical treatment is gaining importance, appearing in the form of deep brain stimulation, peripheral nerve procedures and SDR. All these options offer the affected children good opportunities of improving the quality of life.
机译:背景技术痉挛会影响大量儿童,主要在脑瘫方面,但是,只有少数儿科神经外科医生可以解决这一问题。这主要是由于以下事实:直到1979年,法萨诺(Fasano)出版了第一批选择性背脊神经切开术(SDR)系列产品后,神经外科医师才能够为这类儿童提供适度的帮助。从那时起,痉挛疗法取得了很大的进步。如今,可以使用经口药物,肌肉内和鞘内药物,这可能会限制疾病的影响。另外,外科治疗正变得越来越重要,以深部脑刺激,周围神经程序和SDR的形式出现。所有这些选择为受影响的儿童提供了改善生活质量的良好机会。

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