[Preliminary results of treatment for spastic forms of infantile cerebral paralysis by chronic epidural neurostimulation of lumbar enlargement].
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.
Shabalov
V A
VA
Dekopov
A V
AV
Troshina
E M
EM
D000293:Adolescent; D002547:Cerebral Palsy / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D004599:Electric Stimulation Therapy / Q000379:methods*; D004567:Electrodes, Implanted; D004576:Electromyography; D004824:Epidural Space; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D008297:Male; D020393:Manipulation, Spinal / Q000379:methods*; D009128:Muscle Spasticity / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome