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脊髓损伤中痉挛和抽搐的外科治疗:综述

Surgical management of spasticity and spasms in spinal cord injury: an overview.

作者信息

Barolat G

机构信息

Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA.

出版信息

J Am Paraplegia Soc. 1988 Jan-Apr;11(1):9-13. doi: 10.1080/01952307.1988.11735787.

DOI:10.1080/01952307.1988.11735787
PMID:3288715
Abstract

Spasms and spasticity constitute a significant problem in spinal cord injured individuals. Surgical intervention may be indicated when spasms and spasticity cannot be satisfactorily controlled by medications and physical therapy. Surgical procedures carried out on the nervous system include neurotomy, rhizotomy, myelotomy, cordectomy and spinal cord stimulation. The various procedures and their indications will be discussed.

摘要

痉挛和强直是脊髓损伤患者面临的一个重大问题。当药物和物理治疗无法令人满意地控制痉挛和强直时,可能需要进行手术干预。在神经系统上实施的手术程序包括神经切断术、神经根切断术、脊髓切开术、脊髓切除术和脊髓刺激术。将对各种手术程序及其适应症进行讨论。

相似文献

1
Surgical management of spasticity and spasms in spinal cord injury: an overview.脊髓损伤中痉挛和抽搐的外科治疗:综述
J Am Paraplegia Soc. 1988 Jan-Apr;11(1):9-13. doi: 10.1080/01952307.1988.11735787.
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Controversies in the surgical management of spasticity.痉挛性麻痹外科治疗中的争议
Clin Neurosurg. 1986;33:523-9.
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The problem of spasticity in the management of the spinal cord-injured patient and its treatment with special reference to percutaneous radiofrequency thermal selective sensory rhizotomy.脊髓损伤患者管理中的痉挛问题及其治疗,特别提及经皮射频热选择性感觉神经根切断术。
J Neurosurg Nurs. 1976 Dec;8(2):97-104. doi: 10.1097/01376517-197612000-00005.
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Surgical management of spasticity.痉挛的手术治疗
Curr Probl Surg. 1980 Apr;17(4):249-53. doi: 10.1016/s0011-3840(80)80012-8.
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Role of dorsal rhizotomy in spinal cord injury-induced spasticity.背根切断术在脊髓损伤所致痉挛中的作用。
J Neurosurg Pediatr. 2014 Sep;14(3):266-70. doi: 10.3171/2014.5.PEDS13459. Epub 2014 Jun 27.
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Neurosurgical treatment of spasticity: selective posterior rhizotomy and intrathecal baclofen.痉挛的神经外科治疗:选择性后根切断术和鞘内注射巴氯芬。
Stereotact Funct Neurosurg. 1992;58(1-4):3-13. doi: 10.1159/000098964.
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[About the relief of severe spasticity in paraplegics (author's transl)].关于截瘫患者严重痉挛的缓解(作者译)
Arch Orthop Unfallchir. 1976 Jun 18;85(1):51-9. doi: 10.1007/BF00416332.
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Epidural spinal cord stimulation in the management of spasms in spinal cord injury: a prospective study.硬膜外脊髓刺激治疗脊髓损伤痉挛的前瞻性研究。
Stereotact Funct Neurosurg. 1995;64(3):153-64. doi: 10.1159/000098744.
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Intrathecal baclofen for severe spasticity secondary to spinal cord injury.鞘内注射巴氯芬治疗脊髓损伤继发的严重痉挛
Ann Pharmacother. 1993 Jun;27(6):767-74. doi: 10.1177/106002809302700618.
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Effects of electrical stimulation on spinal spasticity.电刺激对脊髓痉挛的影响。
Scand J Rehabil Med. 1984;16(1):29-34.

引用本文的文献

1
Residual spasticity after selective posterior rhizotomy.
Childs Nerv Syst. 1995 Mar;11(3):161-5. doi: 10.1007/BF00570257.