Tsymbaliuk V I, Laponogov O A, Rymar' V V, Matiuk N G
Zh Vopr Neirokhir Im N N Burdenko. 1989 Jul-Aug(4):3-6.
The article analyses the results of 439 stereotaxic operations performed on 326 patients with the spastic-hyperkinetic form of infantile cerebral paralysis (ICP). Differentiated destructions of the brain structures were conducted. Extended thalamotomy, sagittal thalamotomy, and combined (cross) thalamodentatotomy were the most frequent complexes of destructions. Essential diminution of hyperkineses and hypertonia was noted in 86 and 81% of patients, respectively, in the immediate postoperative periods; the condition of 70% of patients improved in the late-term periods as compared to that in the preoperative period. Combined (cross) thalamodentatomy was found to be the most effective operative intervention.
本文分析了对326例痉挛 - 多动型小儿脑瘫（ICP）患者进行的439例立体定向手术的结果。对脑结构进行了差异化破坏。丘脑切开术、矢状丘脑切开术和联合（交叉）丘脑齿状核切开术是最常见的破坏组合。分别在术后即刻，86%和81%的患者出现运动亢进和肌张力亢进明显减轻；与术前相比，70%的患者在后期病情有所改善。发现联合（交叉）丘脑齿状核切开术是最有效的手术干预措施。
