Deep brain and cerebellar stimulation for spasticity

  • J. Siegfried


Since the introduction of stereotactic brain operations in humans by Spiegel and Wycis in 1947 (Spiegel et al. 1947), most surgical efforts to improve dystonic conditions and abnormal movements have focused on localized destruction of various parts of the thalamus, mesencephalon, and cerebellar nuclei. Many types of movement disorders were treated by this technique, which allows the destruction of more or less specific subcortical parts of the brain without damaging the overlying brain structures, and thus ameliorate diseases which had previously been difficult or impossible to treat. For the physiological localization of the target to be destroyed, electrical stimulation has been always used, but the application of this method for therapeutic use was only introduced in 1962. At that time Mazars implanted electrodes in the sensory thalamic nuclei for pain relief (Mazars et al. 1973) and Cooper in the same year described chronic cerebellar stimulation for motor movements disorders (Cooper 1973).


Cerebral Palsy Deep Brain Stimulation Dentate Nucleus Spinal Cord Stimulation Cerebellar Nucleus 
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Copyright information

© Springer-Verlag Wien 1991

Authors and Affiliations

  • J. Siegfried
    • 1
  1. 1.AMI Klinik Im ParkZürichSwitzerland

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