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Deep brain and cerebellar stimulation for spasticity

  • J. Siegfried

Abstract

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).

Keywords

Cerebral Palsy Deep Brain Stimulation Dentate Nucleus Spinal Cord Stimulation Cerebellar Nucleus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Andy DJ (1983) Thalamic stimulation for control of movement disorders. Appl Neurophysiol 46:107–111PubMedGoogle Scholar
  2. Babb TL, Soper HV, Lieb JR, Brown WJ, Ottino CA, Crandall PH (1977) Electrophysiological studies of long-term electrical stimulation of the cerebellum in monkeys. J Neurosurg 47:353–365PubMedCrossRefGoogle Scholar
  3. Bantli H, Bloedel JR, Tolbert D (1976) Activation of neurons in the cerebellar nuclei and ascending ventriculal formation by stimulating of the cerebellar surface. J Neurosurg 45:539–554PubMedCrossRefGoogle Scholar
  4. Bremer F (1935) Traité de physiologie normale et pathologique, vol 1. Roger, Binet, Le Cervelet Masson, ParisGoogle Scholar
  5. Brown WJ, Babb TL, Soper HV, Lieb JP, Ottino CA, Crandall PH (1977) Tissue reactions to long-term electrical stimulation of the cerebellum in monkeys. J Neurosurg 47:366–379PubMedCrossRefGoogle Scholar
  6. Cohadon F, Richer E, Bougier A, Deliac P, Loiseau H (1985) Deep brain stimulation in cases of prolonged post-traumatic unconsciousness. In: Lazorthes Y, Upton ARM (eds) Neurostimulation: an overview. Mt Kisco Futura, New York, pp 247–250Google Scholar
  7. Cook AW, Weinstein SP (1973) Chronic dorsal column stimulation in multiple sclerosis. N Y State J Med 73:2868–2872PubMedGoogle Scholar
  8. Cooper IS (1973) Effect of chronic stimulation of anterior cerebellum on neurological diseases. Lancet i:131Google Scholar
  9. Cooper IS (1982) A general theory of causation and reversibility of involuntary movement disorders. Appl Neurophysiol 45:317–323PubMedGoogle Scholar
  10. Cooper IS, Crighel E, Amin I (1973) Clinical and physiological effects of stimulation of the paleocerebellum in humans. J Am Geriatr Soc 21:40–43PubMedGoogle Scholar
  11. Cooper IS, Riklan M, Amin I, Waltz JM, Cullinan T (1976) Chronic cerebellum stimulation in cerebral palsy. Neurology 26:744–753PubMedCrossRefGoogle Scholar
  12. Cooper IS, Riklan M, Tabaddor K, Cullinan T, Amin I, Watkins ES (1978) A long-term follow-up study of chronic cerebellar stimulation for cerebral palsy. In: Cooper IS (ed) Cerebellar stimulation in man. Raven Press, New York, pp 59–99Google Scholar
  13. Cooper IS, Upton ARM, Amin I (1980) Reversibility of chronic neuralgic deficits: some effects of electrical stimulation of the thalamus and internal capsule in man. Appl Neurophysiol 43:244–258PubMedGoogle Scholar
  14. Dauth GW, Defendini R, Gilman S, Tennyson K, Krezmer L (1977) Long-term surface stimulation of the cerebellum in monkey. Surg Neurol 7:377–384PubMedGoogle Scholar
  15. Davis R, Engle H, Kudzma J, Gray E, Ryan T, Dusnak A (1982) Update of chronic cerebellar stimulation for spasticity and epilepsy. Appl Neurophysiol 45:44–50PubMedGoogle Scholar
  16. DeLong MR, Georgopoulos A (1979) Motor functions of the basal ganglia. In: Brookhard JM, et al (eds) Handbook of physiology. The nervous system. American Physiological Society, Bethesda, pp 1017–1061Google Scholar
  17. DeLong MR, Georgopoulos AP, Crutcher MD, Mitchell SS, Richardson RT, Alexander GE (1984) Functional organisation of the basal ganglia: contributions of single cell recording studies. Functions of the basal ganglia. Ciba Foundation Symposium 107. Pitman, London, pp 64–82Google Scholar
  18. Dow RS (1938) The electrical activities of the cerebellum and its functional significance. J Physiol (Lond) 94:67–84Google Scholar
  19. Evarts EV, Wise SP (1984) Basal ganglia outputs and motor control. Functions of the basal ganglia. Ciba Foundation Symposium 107. Pitman, London, pp 83–102Google Scholar
  20. Flourens P (1824) Recherches expérimentales sur les propriétés et les functions du système nerveux dans les animaux vertebrés. Crerot, ParisGoogle Scholar
  21. Gybels J, Van Roost D (1987) Spinal cord stimulation for spasticity. Adv Tech Stand Neurosurg 15:63–96PubMedCrossRefGoogle Scholar
  22. Ivan LP, Ventureyra ECG (1982) Chronic cerebellar stimulation in cerebral palsy. Appl Neurophysiol 45:51–54PubMedGoogle Scholar
  23. Jasper HH (1961) Thalamic reticular system. In: Sheer DE (ed) Electrical stimulation of the brain. University of Texas Press, Austin, pp 277–287Google Scholar
  24. Larson SJ, Sances A, Hemmy DC, Millar ZA (1978) Physiological and histological effect of cerebellar stimulation. Neurosurgery 1:212–213Google Scholar
  25. Lowenthal M, Horsely V (1897) On the relation between the cerebellar and other centers (namely cerebral and spinal) with special reference to the action of antagonistic muscles. Proc R Soc Lond 61:20–25CrossRefGoogle Scholar
  26. Mazars G, Merienne L, Cioloca G (1973) Stimulations thalamiques intermittentes. Rev Neurol 128:273–279PubMedGoogle Scholar
  27. Mazars G, Merienne L, Cioloca G (1980) Control of dyskinesias due to sensory deafferentation by means of thalamic stimulation. Acta Neurochir [Suppl] 30:239–243CrossRefGoogle Scholar
  28. Moruzzi G (1950) Problems in cerebellar physiology, Thomas, SpringfieldGoogle Scholar
  29. Mundinger F (1977) Neue stereotaktisch-funktionelle Behandlungsmethode des Torticollis spasmodicus mit Hirnstimulatoren. Med Klin 72:1982–1986PubMedGoogle Scholar
  30. Mundinger F, Neumüller H (1982) Programmed stimulation for control of chronic pain and motor disease. Appl Neurophysiol 45:102–111PubMedGoogle Scholar
  31. Penn RD, Myklebust B, Gottlieb FL, Agarwal GC, Etzel M (1980) Chronic cerebellar stimulation for cerebral palsy. Prospective and double-blind studies. J Neurosurg 53:160–165PubMedCrossRefGoogle Scholar
  32. Porter R (1984) Basal ganglia links for movement mood and memory (general discussion). Functions of the basal ganglia. Ciba Foundation Symposium 107. Pitman, London, pp 3–29Google Scholar
  33. Schvarcz JR, Sica R, Morita E (1980) Chronic self-stimulation of the dentate nucleus for the relief of spasticity. Acta Neurochir 30 [Suppl]:351–359CrossRefGoogle Scholar
  34. Schvarcz JR, Sica R, Morita E, Bronstein A, Sanz O (1982) Electrophysiological changes induced by chronic stimulation of the dentate nucleus for cerebral palsy. Appl Neurophysiol 45:55–61PubMedGoogle Scholar
  35. Sherrington CS (1898) Decerebrate rigidity and reflex coordination of movement. J Physiol (Lond) 22:319–332Google Scholar
  36. Siegfried J (1986) Effets de la stimulation du noyau sensitif du thalamus sur les dyskinesies et la spasticite. Rev Neurol (Paris) 142:380–383Google Scholar
  37. Siegfried J (1987) Stimulation of thalamic nuclei in human: sensory and therapeutical aspects. In: Besson JM, Guilbaud G, Peschanski M (eds) Thalamus and pain. Elsevier, Amsterdam New York Oxford, pp 271–278Google Scholar
  38. Siegfried J, Comte P, Meier R (1983) Intracerebral electrode implantation system. J Neurosurg 59:356–359PubMedCrossRefGoogle Scholar
  39. Siegfried J, Hood T (1985) Brain stimulation procedures in dystonic, hypertonic, dyskinetic and hyperkinetic conditions. In: Eccles J, Dimitrijevic M (eds) Recent achievements in restorative neurology. 1. Upper motor neuron functions and dysfunctions. Karger, Basel, pp 79–90Google Scholar
  40. Siegfried J, Lazorthes Y (1985) La neurochirurgie fonctionnelle de l’infirmite motrice d’origine cerebrale. Neurochirurgie 31 [Suppl 1]:1–118PubMedGoogle Scholar
  41. Siegfried J, Pamir MN (1987) Electrical stimulation in human of the sensory thalamic nuclei and effects on dyskinesias and spasticity. In: Struppler A, Weindl A (eds) Clinical aspects of sensory motor integration. Springer, Berlin Heidelberg New York, pp 283–288CrossRefGoogle Scholar
  42. Snider RS (1974) Cerebellar modifications of abnormal discharges in cerebral sensory and motor areas. In: Cooper, Riklan, Snider (eds) The cerebellum, epilepsy and behavior. Plenum Publishing, New York, pp 3–18CrossRefGoogle Scholar
  43. Spiegel EA, Wycis HT, Marks M, Lee AJ (1947) Stereotaxic apparatus for operating on the human brain. Science 106:349–350PubMedCrossRefGoogle Scholar
  44. Von Haller A (1766) Elementa physiologiae corporis humanis. In: Tomus quartus: cerebrum, nervi, musculi. Francisci Grasser, LausanneGoogle Scholar

Copyright information

© Springer-Verlag Wien 1991

Authors and Affiliations

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

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