Penn R D
Neurosurgery. 1982 Jan;10(1):116-21.
Chronic cerebellar stimulation for cerebral palsy is a controversial procedure. It is difficult to evaluate objectively because cerebral palsy is not a single disease entity and the clinical syndrome may vary over time. Tests of neurophysiological function, signs of spasticity, and tests of motor function have documented changes, but double-blind evaluations have not. These studies are reviewed, as are the inherent problems in cerebellar stimulation and the physiology of cerebral palsy.
慢性小脑刺激治疗脑瘫是一种存在争议的治疗方法。由于脑瘫并非单一的疾病实体,且临床综合征可能随时间变化,因此难以进行客观评估。神经生理功能测试、痉挛体征以及运动功能测试都记录到了变化,但双盲评估却没有。本文对这些研究进行了综述,同时也探讨了小脑刺激中存在的固有问题以及脑瘫的生理学机制。