Fraioli B, Nucci F, Baldassarre L
Appl Neurophysiol. 1977;40(1):26-40. doi: 10.1159/000102429.
Bilateral cervical posterior rhizotomy of C1 through C4, C5 or C6 was performed in 16 patients affected by dystonia and athetosis resulting from infantile cerebral palsy. The majority showed decreased muscle spasms and athetoid movements, with some improvements in their posture and voluntary mobility. 5 patients suffered from uneven and irregular breathing associated with lethargy immediately postoperatively, and 4 also showed reduced diaphragmatic activity; all 4 of these patients developed pneumonia, transitory in 3, but fatal to the other. Urinary retention lasting for a maximum of 3 months occurred in 4 of the 5 patients. The authors suggest that the lesion of ascending reticular fibers in the cervical posterior roots could have been responsible for the observations.
对16例因婴儿脑性瘫痪导致肌张力障碍和手足徐动症的患者实施了双侧C1至C4、C5或C6颈后根切断术。大多数患者肌肉痉挛和手足徐动样运动减少，姿势和自主活动有一定改善。5例患者术后立即出现与嗜睡相关的呼吸不均匀、不规则，4例患者还出现膈肌活动减弱；这4例患者均发生肺炎，3例为暂时性，但另1例死亡。5例患者中有4例出现了最长持续3个月的尿潴留。作者认为颈后根中上升性网状纤维的损伤可能是这些观察结果的原因。
