Galanda M, Mistina L, Zoltan O
Acta Neurochir Suppl (Wien). 1989;46:37-8. doi: 10.1007/978-3-7091-9029-6_8.
Stereotactic placement of stimulating electrodes (TESLA) into deep regions of the cerebellum (Fischer instruments) was analyzed in respect to its organization into sagittaly oriented zones. This was done after imaging of the trajectory and target area and verification of the position of electrodes by CT (Siemens). A correlation was observed between the position of the stimulating electrode from the midline laterally and localization of induced responses on the body--from bilateral to ipsilateral. The combination of deep cerebellar stimulation and destructive method in the supratentorial region could be the optimal approach to relieve spasticity and to improve motor function in some cases of cerebral palsy.
分析了将刺激电极(特斯拉)立体定向放置到小脑深部区域(菲舍尔仪器)时,其在矢状面定向区域的组织情况。这是在对轨迹和目标区域进行成像,并通过CT(西门子)验证电极位置之后进行的。观察到刺激电极从中线向外的位置与身体上诱发反应的定位之间存在相关性——从双侧到同侧。在某些脑瘫病例中,小脑深部刺激与幕上区域的毁损方法相结合可能是缓解痉挛和改善运动功能的最佳方法。