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Combined Transtentorial Dentatotomy With Pulvinarotomy in Cerebral Palsy

  • M. Galanda
  • P. Nádvorník
  • M. Šramka
Part of the Acta Neurochirurgica Supplementum book series (NEUROCHIRURGICA, volume 24)

Summary

For frequently associated spasticity with involuntary movements in cerebral palsy operations on cerebellar nuclei or on the pulvinar of the thalamus are recommended.

We combined both approadies in 45 patients. The combination was possible after experiences with transtentorial dentatotomy, in which the electrodes are introduced into the deep structures of the cerebellum from a burr-hole on the lambdoid suture. The same lambdoid approach may equally well be applied for introducing electrodes into the pulvinar of the thalamus. The lesion in the pulvinar may moreover be combined with the target in the centrum medianum or in the nuclei VIM-VCP or VOP. Lesions are always asymmetric and multilocular. Their influence on the clinical picture is quite favourable.

Keywords

Cerebral Palsy Involuntary Movement Cerebellar Nucleus Lambdoid Suture Transcallosal Approach 
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. Cooper, I. S. (1969), Involuntary movement disorders, p. 423. New York: Hoeber.Google Scholar
  2. Cooper, I. S. (1969), Amin, L, Chandra, R., Waltz, J. M. (1973), A surgical investigation of the clinical physiology of the LP-pulvinar complex in man. J. neurol. Sci. 18, 89–110.Google Scholar
  3. Nádvorník, P., Šramka, M., Lisý, L., Sviča, I. (1972), Experiences with dentatotomy. Confín. Neurol. (Basel) 34, 320–324.CrossRefGoogle Scholar
  4. Ramamurthi, B. (1973), Central median lesions. An analysis of indications and results in 105 cases. In Sixth Symposium of the International Society for Research in Stereoencephalotomy. Vol. II, p. 16. Tokyo: Abstracts.Google Scholar

Copyright information

© Springer-Verlag 1977

Authors and Affiliations

  • M. Galanda
    • 1
  • P. Nádvorník
    • 1
  • M. Šramka
    • 1
  1. 1.Department of Neurosurgery and its Research Laboratory of Clinical StereotaxyMedical School of Comenius UniversityBratislavaČSSR

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