Treatment of complex forms of infantile cerebral palsy using multiple intracerebral electrodes
Zh Vopr Neirokhir Im N N Burdenko, (1981)Abstract
On the example of treating patients suffering from infantile cerebral paralysis (ICP) by means of multiple intracerebral electrodes, the authors demonstrate one of the approaches to solving the main methodological problems of stereotaxic neurosurgery: whether or not destruction in the given subcortical structure in the given patient is indicated; what volume of destruction is required for producing the maximum clinical effect. Mechanomyographic recording of the muscle tone was used along with the clinical evaluation as one of the principal methods for appraising the changes in the patient's motor sphere. Changes were shown inthe mechanomyographic characteristics of the muscle tone in response to diagnostic or therapeutic effect on the chosen subcortical structures. It is not possible to recommend a universal combination of structures promising for destruction even in clinically similar cases of ICP on the basic of the material presented. It is necessary to thoroughly appraise the results of the diagnostic effects (polarizations) in every patient and then implement selected dosaged destruction in the chosen subcortical structures.