[计算机断层扫描在运动障碍患者立体定向手术中的应用]

[The use of computed tomography in stereotaxic operations in dyskinesia patients].

作者信息

Shabalov V A, Melikian A G, Kadin A L, Arutiunov N V, Golanov A V, Shtok A V, Shcherbina Iu I

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1998 Jul-Sep(3):3-6.

Abstract

Experience with 366 CT-stereotactic operations in varying movement disorders (Parkinson's disease, cerebral palsy, torsion dystonia, torticollis, hemihyperkinesis) is presented. Different deep structures, such as thalamic nuclei, subthalamic structures, palladium, putamen, caudate nucleus, dentate nucleus, and brachium conjunctivum or combination of these structures, were selected as a stereotactic target point. Anodic or radiofrequency stimulation, implantation of chronic intracerebral electrodes and neurotransplantation were used as methods of exposure. A procedure for CT-stereotactic determination of supratentorial and subtentorial target points is described. CT-guided stereotactic procedures in the treatment of dyskinesia are precise and less traumatic than ventriculography-guided procedures.

摘要

本文介绍了在不同运动障碍（帕金森病、脑瘫、扭转性肌张力障碍、斜颈、偏身多动）中进行366例CT立体定向手术的经验。不同的深部结构，如丘脑核、丘脑底结构、苍白球、壳核、尾状核、齿状核和结合臂，或这些结构的组合，被选作立体定向靶点。阳极或射频刺激、慢性脑内电极植入和神经移植被用作暴露方法。描述了一种CT立体定向确定幕上和幕下靶点的方法。与脑室造影引导的手术相比，CT引导的立体定向手术治疗运动障碍更精确且创伤更小。