Neurosurgery for Spasticity: A Multidisciplinary Approach

Front Matter....Pages i-xi
Front Matter....Pages 1-1
Neuroanatomical bases of spasticity....Pages 3-14
Neurophysiological bases of spasticity....Pages 15-19
Neurochemical bases of spasticity....Pages 21-25
Front Matter....Pages 27-27
Clinical features of spasticity....Pages 29-32
Clinical assessment of spasticity....Pages 33-37
Clinical neurophysiological assessment of spasticity....Pages 39-46
Quantification of spasticity and limb function (based on clinical examination, and directed to adult patients)....Pages 47-50
Childhood spasticity assessment....Pages 51-56
Front Matter....Pages 57-57
Medical treatment of spasticity....Pages 59-62
Physical treatments of spasticity and chemical blocks....Pages 63-69
Front Matter....Pages 71-71
Spinal cord stimulation for spasticity....Pages 73-81
Deep brain and cerebellar stimulation for spasticity....Pages 83-87
Front Matter....Pages 89-89
Pharmacological bases of intrathecal Baclofen administration....Pages 91-93
CSF pharmacokinetic of intrathecal Baclofen administration....Pages 95-95
Drug pump technical description, operative procedure and post-operative management....Pages 97-101
Intrathecal infusion of baclofen for spasticity: the RUSH and the US multicenter studies....Pages 103-109
Intrathecal infusion of Baclofen for spasticity: the Toulouse and the French Multicenter Studies....Pages 111-116
Front Matter....Pages 117-117
Selective peripheral neurotomies for the treatment of spasticity....Pages 119-132
The different (open surgical, percutaneous thermal, and intrathecal chemical) rhizotomies for the treatment of spasticity....Pages 133-139
Sectorial posterior rhizotomy for the treatment of spasticity in adults....Pages 141-143
Front Matter....Pages 117-117
Sectorial posterior rhizotomy for the treatment of spasticity in children with cerebral palsy....Pages 145-147
Selective functional rhizotomy for the treatment of spasticity in children....Pages 149-157
Electrophysiological monitoring in selective posterior rhizotomy for spasticity: principles, techniques and interpretation of responses....Pages 159-163
Surgery in the dorsal root entry-zone: microsurgical DREZ-tomy (MDT) for the treatment of spasticity....Pages 165-182
Longitudinal myelotomy for spasticity....Pages 183-186
Destructive stereotatic procedures for spasticity directed to the brain and the cerebellum....Pages 187-190
Front Matter....Pages 191-191
The spastic bladder and its treatment....Pages 193-199
Orthopedic surgical corrections of spastic disorders....Pages 201-208
Front Matter....Pages 209-209
Indications for surgery to treat adults with harmful spasticity....Pages 211-213
Indications for surgery to treat children with spasticity due to cerebral palsy....Pages 215-217
Conclusions....Pages 219-219