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Decision-Making for Treatment of Adults with Disabling Spasticity

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Neurosurgery for Spasticity

Abstract

Spasticity should not be treated just because it is present; it should be treated when it is harmful. Indeed, paralyzed patients may make use of spasticity for functional activities. An extensor pattern in the lower limb(s) allows the hemiplegic patient to walk and helps the paraplegic patient in standing transfers. In these scenarios, a “successful” treatment of the spasticity, as measured by reduction in tone and improved range of motion, could well reduce rather than enhance function [1]. Differentiation of reversible abnormal postures from fixed deformities is of prime importance before indicating surgical treatment. Operative methods for a reduction of spasticity can be classified according to their effects being either focal or general and being either permanent or temporary

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Authors and Affiliations

  1. Department of Neurosurgery, University of Lyon 1 Hôpital Neurologique Pierre Wertheimer, GHE, Lyon, France

    Marc Sindou M.D., D.Sc., George Georgoulis M.D. & Patrick Mertens M.D., Ph.D.

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  1. Marc Sindou M.D., D.Sc.
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  2. George Georgoulis M.D.
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  3. Patrick Mertens M.D., Ph.D.
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Sindou, M., Georgoulis, G., Mertens, P. (2014). Decision-Making for Treatment of Adults with Disabling Spasticity. In: Neurosurgery for Spasticity. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1771-2_5

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  • DOI: https://doi.org/10.1007/978-3-7091-1771-2_5

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  • Online ISBN: 978-3-7091-1771-2

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