Advances in Stereotactic and Functional Neurosurgery 2: by H. Narabayashi M.D. (auth.), F. John Gillingham, Edward R.

By H. Narabayashi M.D. (auth.), F. John Gillingham, Edward R. Hitchcock (eds.)

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Extra resources for Advances in Stereotactic and Functional Neurosurgery 2: Proceedings of the 2nd Meeting of the European Society for Stereotactic and Functional Neurosurgery, Madrid 1975

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Results 0/ 6 Unilateral Stereotactic Associated V. L. Thalamolysis and Pulvinolysis Condition Unilateral dystonic-athetoid Syndromes Dystonia Choreoathetosis Totals Markedly improved Improved Slightly improved 2 4 2 In our experience of the choreoathetotic syndromes the role of the pulvinar is questionable. We have observed some slight or moderate improvement in those syndromes in which the choreic component was prevalent. On the contrary, in dystonic syndromes stereotactic pulvinolysis yielded more favourable results but of moderate degree.

38 B. Guidetti and B. L. thalamolyses and pulvinolyses. Evaluating the results obtained from these operations, it can be seen that spastic syndromes of the "tonic" type improve with partial posterior rhizotomy. The same favourable results for "tonic" spasticity are obtained with partial posterior rootlet section, that is with a less aggressive technique. Because of the sparing of deep sensation this operation can be performed even in spastic patients who are acquiring or have already acquired independent standing or walking.

In the early 6 postop. hours Totals 9 4 4 * Dead Operated on before by stereotactic dentatolysis. As shown in Table 4, 4 patients improved slightly after the operation, 9 improved moderately and one, operated on previously by stereotactic dentatolysis, improved markedly. Thus the majority of patients, some weeks after the operation, showed a better sitting posture, better control of the head and more coordinated mobility of the upper and lower limbs. In 2 patients an improvement of walking was evident.

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