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Cervical selective dorsal rhizotomy for treating spasticity in upper limb neurosurgical way to neurosurgical techniqueD

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机构: [1]Sichuan Rehabil Hosp, Dept Cerebral Palsy Ctr, Chengdu, Sichuan, Peoples R China [2]Shanghai Tong Ren Hosp, Dept Funct Neurosurg, Shanghai 200336, Peoples R China
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关键词: Selective dorsal rhizotomy Spasticity Upper limb Functional neurosurgery

摘要:
Selective dorsal rhizotomy is an effective method to reduce spasticity of the lower limbs. However, functional outcomes in the upper limb following selective dorsal rhizotomy at the cervical level have not been reported. Here we report the clinical course after selective dorsal rhizotomy at the cervical level in a patient with hemiplegic spasticity caused by brain injury. The selective dorsal rootlets at the cervical level were sectioned under electrophysiological monitoring. The patient was followed for 1 year to evaluate the outcome of surgery. The spasticity in the upper limb was reduced and the passive range of motion and function of movement improved. However, the effectiveness and the safety of operation should be studied further in clinical trials. (C) 2015 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license.

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出版当年[2014]版:
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大类 | 4 区 医学
小类 | 4 区 临床神经病学
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出版当年[2013]版:
最新[2024]版:
Q4 CLINICAL NEUROLOGY

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第一作者机构: [1]Sichuan Rehabil Hosp, Dept Cerebral Palsy Ctr, Chengdu, Sichuan, Peoples R China
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通讯机构: [1]Sichuan Rehabil Hosp, Dept Cerebral Palsy Ctr, Chengdu, Sichuan, Peoples R China [2]Shanghai Tong Ren Hosp, Dept Funct Neurosurg, Shanghai 200336, Peoples R China
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