%0 Journal Article %1 Shabalov2006 %A Shabalov, V. A. %A Dekopov, A. V. %A Troshina, E. M. %D 2006 %J Zh Vopr Neirokhir Im N N Burdenko %K Ado; Cerebral Palsy; Child; Child, Preschool; Electric Stimulation Therapy; Electrodes, Implanted; Electromyography; Epidural Space; Female; Humans; Lumbosacral Region; Male; Manipulation, Spinal; Muscle Spasticity; Treatment Outcome; lescent %N 3 %P 10--3; discussion 13 %T Preliminary results of treatment for spastic forms of infantile cerebral paralysis by chronic epidural neurostimulation of lumbar enlargement %X Six patients with infantile cerebral paralysis following drug-resistant spastic syndrome were operated on. Four children suffered from lower spastic paraparesis; 2 had spastic tetraparesis. All the children were observed to have leg chiasm and myogenic equinus talipes. Electrodes were implanted under X-ray guidance into the posterior epidural cavity of the spinal cord at the level of Th10-Th12 vertebrae and the MATTRIX system. In the postoperative period, all the children had a steady-state decrease in leg and arm muscle tone during 1-2 daily high-frequency electrostimulation sessions. Within the early week, there was a regression of equinus talipes and leg chiasm. A follow-up indicated a steady-state clinical effect in all the patients. Stimulation myography revealed that the H reflex was suppressed and the H/M ratio decreased to the normal level (60-80\%) in all the patients. An average of one daily electrostimulation session was sufficient to maintain muscle tone at the near-normal level.

@article{Shabalov2006, abstract = {Six patients with infantile cerebral paralysis following drug-resistant spastic syndrome were operated on. Four children suffered from lower spastic paraparesis; 2 had spastic tetraparesis. All the children were observed to have leg chiasm and myogenic equinus talipes. Electrodes were implanted under X-ray guidance into the posterior epidural cavity of the spinal cord at the level of Th10-Th12 vertebrae and the MATTRIX system. In the postoperative period, all the children had a steady-state decrease in leg and arm muscle tone during 1-2 daily high-frequency electrostimulation sessions. Within the early week, there was a regression of equinus talipes and leg chiasm. A follow-up indicated a steady-state clinical effect in all the patients. Stimulation myography revealed that the H reflex was suppressed and the H/M ratio decreased to the normal level (60-80\%) in all the patients. An average of one daily electrostimulation session was sufficient to maintain muscle tone at the near-normal level.}, added-at = {2014-07-19T21:19:36.000+0200}, author = {Shabalov, V. A. and Dekopov, A. V. and Troshina, E. M.}, biburl = {https://www.bibsonomy.org/bibtex/2a90dd6b7c4dec76f87179279506d5e98/ar0berts}, groups = {public}, interhash = {67a90d85d80a7957f48a686dbc0773f4}, intrahash = {a90dd6b7c4dec76f87179279506d5e98}, journal = {Zh Vopr Neirokhir Im N N Burdenko}, keywords = {Ado; Cerebral Palsy; Child; Child, Preschool; Electric Stimulation Therapy; Electrodes, Implanted; Electromyography; Epidural Space; Female; Humans; Lumbosacral Region; Male; Manipulation, Spinal; Muscle Spasticity; Treatment Outcome; lescent}, number = 3, pages = {10--3; discussion 13}, pmid = {17125072}, timestamp = {2014-07-19T21:19:36.000+0200}, title = {[Preliminary results of treatment for spastic forms of infantile cerebral paralysis by chronic epidural neurostimulation of lumbar enlargement]}, username = {ar0berts}, year = 2006 }