肌张力障碍患者的立体定向丘脑切开术

Stereotactic thalamotomy for dystonic patients.

作者信息

Yamashiro K, Tasker R R

机构信息

Department of Neurosurgery, Nagasaki University School of Medicine, Japan.

出版信息

Stereotact Funct Neurosurg. 1993;60(1-3):81-5. doi: 10.1159/000100593.

DOI:10.1159/000100593

PMID:8511436

Abstract

A total of 54 patients (22 females and 32 males) with dystonia underwent thalamotomy. These patients consisted of 25 dystonia musculorum deformans (DMD) and 29 secondary dystonia cases. All of the patients were analyzed prospectively. Preoperative and postoperative symptoms were compared and grade. The target areas of thalamotomy were the ventral intermediate (Vim) and posterior ventral oral (Vop) nuclei. 59% of the patients showed more than 25% improvement, 23% were slightly improved cases (less than 25%), and 16% showed no change or their symptoms had worsened.

摘要

共有54例肌张力障碍患者（22例女性，32例男性）接受了丘脑切开术。这些患者包括25例变形性肌张力障碍（DMD）和29例继发性肌张力障碍病例。所有患者均进行前瞻性分析。比较并分级术前和术后症状。丘脑切开术的目标区域是腹中间核（Vim）和腹后口核（Vop）。59%的患者改善超过25%，23%为轻度改善病例（改善不足25%），16%无变化或症状恶化。