A group of 20 children with spastic cerebral palsy underwent selective dorsal rhizotomy for alleviation of spasticity. Pre- and postoperatively, cortical somatosensory evoked responses (cSSEP), H reflex and F wave studies were done. Clinically there was dramatic reduction of tone without noticeable sensory loss. The electrophysiologic studies showed several findings: (1) many children have abnormal cSSEP preoperatively; (2) surgery seldom leads to a loss of cSSEP; (3) in many patients, there is a noteworthy improvement in the cSSEP wave form; (4) some children have electrophysiologic evidence of spinal cord dysfunction preoperatively and (5) Hmax/Mmax ratio decreases after surgery confirming decrease in tone.
%0 Journal Article
%1 Cahan1987
%A Cahan, L. D.
%A Kundi, M. S.
%A McPherson, D.
%A Starr, A.
%A Peacock, W.
%D 1987
%J Appl Neurophysiol
%K Cerebral Palsy; Child; Child, Preschool; Evoked Potentials, Somatosensory; Female; Humans; Male; Muscle Spasticity; Spinal Nerve Roots
%N 1-6
%P 459--462
%T Electrophysiologic studies in selective dorsal rhizotomy for spasticity in children with cerebral palsy.
%V 50
%X A group of 20 children with spastic cerebral palsy underwent selective dorsal rhizotomy for alleviation of spasticity. Pre- and postoperatively, cortical somatosensory evoked responses (cSSEP), H reflex and F wave studies were done. Clinically there was dramatic reduction of tone without noticeable sensory loss. The electrophysiologic studies showed several findings: (1) many children have abnormal cSSEP preoperatively; (2) surgery seldom leads to a loss of cSSEP; (3) in many patients, there is a noteworthy improvement in the cSSEP wave form; (4) some children have electrophysiologic evidence of spinal cord dysfunction preoperatively and (5) Hmax/Mmax ratio decreases after surgery confirming decrease in tone.
@article{Cahan1987,
abstract = {A group of 20 children with spastic cerebral palsy underwent selective dorsal rhizotomy for alleviation of spasticity. Pre- and postoperatively, cortical somatosensory evoked responses (cSSEP), H reflex and F wave studies were done. Clinically there was dramatic reduction of tone without noticeable sensory loss. The electrophysiologic studies showed several findings: (1) many children have abnormal cSSEP preoperatively; (2) surgery seldom leads to a loss of cSSEP; (3) in many patients, there is a noteworthy improvement in the cSSEP wave form; (4) some children have electrophysiologic evidence of spinal cord dysfunction preoperatively and (5) Hmax/Mmax ratio decreases after surgery confirming decrease in tone.},
added-at = {2014-07-19T19:13:14.000+0200},
author = {Cahan, L. D. and Kundi, M. S. and McPherson, D. and Starr, A. and Peacock, W.},
biburl = {https://www.bibsonomy.org/bibtex/20e5290824c5e65d60d76c205e135284f/ar0berts},
groups = {public},
interhash = {0deacbc46d754d13df513e12f56e0989},
intrahash = {0e5290824c5e65d60d76c205e135284f},
journal = {Appl Neurophysiol},
keywords = {Cerebral Palsy; Child; Child, Preschool; Evoked Potentials, Somatosensory; Female; Humans; Male; Muscle Spasticity; Spinal Nerve Roots},
number = {1-6},
pages = {459--462},
pmid = {3450247},
timestamp = {2014-07-19T19:13:14.000+0200},
title = {Electrophysiologic studies in selective dorsal rhizotomy for spasticity in children with cerebral palsy.},
username = {ar0berts},
volume = 50,
year = 1987
}