Speelman J D
Academisch Medisch Centrum, afd. Neurologie, Amsterdam.
Ned Tijdschr Geneeskd. 1990 Sep 8;134(36):1732-5.
The effect of Cervical Epidural Spinal cord Electrical Stimulation (E.S.E.S.) was studied in 15 patients with cerebral palsy. Spasticity and dyskinesia, daily functioning and the emotional and physical burden of this therapy for the patients were examined. Twelve patients did not continue the treatment after completing the study, because of lack of symptomatic or functional improvement and many complications due to broken or migrated electrodes. Two patients still continue E.S.E.S. and a third is awaiting replacement of a broken electrode. None of these three patients showed a clear improvement of the ADL scale or the disability score. E.S.E.S. cannot be recommended as a symptomatic treatment for cerebral palsy patients.
对15例脑瘫患者进行了颈段硬膜外脊髓电刺激（E.S.E.S.）治疗效果的研究。研究了痉挛和运动障碍、日常功能以及该治疗给患者带来的情感和身体负担。12例患者在完成研究后未继续治疗，原因是缺乏症状或功能改善，以及电极断裂或移位导致的许多并发症。2例患者仍在继续接受E.S.E.S.治疗，第3例正在等待更换断裂的电极。这3例患者均未显示出日常生活活动量表或残疾评分有明显改善。不建议将E.S.E.S.作为脑瘫患者的对症治疗方法。
