Neurosurgery for Spasticity A Multidisciplinary Approach

"Spasticity is one of the commonest sequelae of neurological disease and during the last few years many advances have been made in the treatment of this complaint by functional neurosurgery. This book ... will appeal to neurosurgeons, orthopaedic surgeons and neurologists amongst others.” Annals of the Royal College of Surgeons of England

Fundamental bases of spasticity.- Neuroanatomical bases of spasticity.- Neurophysiological bases of spasticity.- Neurochemical bases of spasticity.- Assessment of spasticity.- Clinical features of spasticity.- Clinical assessment of spasticity.- Clinical neurophysiological assessment of spasticity.- Quantification of spasticity and limb function (based on clinical examination, and directed to adult patients).- Childhood spasticity assessment.- Nonsurgical treatment of spasticity.- Medical treatment of spasticity.- Physical treatments of spasticity and chemical blocks.- Neurostimulation for spasticity.- Spinal cord stimulation for spasticity.- Deep brain and cerebellar stimulation for spasticity.- Intrathecal Baclofen administration for spasticity using implantable pumps.- Pharmacological bases of intrathecal Baclofen administration.- CSF pharmacokinetic of intrathecal Baclofen administration.- Drug pump technical description, operative procedure and post-operative management.- Intrathecal infusion of Baclofen for spasticity: the RUSH and the US multicenter studies.- Intrathecal infusion of Baclofen for spasticity: The Toulouse and the French Multicenter Studies.- Neuro-ablative procedures for spasticity.- Selective peripheral neurotomies for the treatment of spasticity.- The different (open surgical, percutaneous thermal, and intrathecal chemical) rhizotomies for the treatment of spasticity.- Sectorial posterior rhizotomy for the treatment of spasticity in adults.- Sectorial posterior rhizotomy for the treatment of spasticity in children with cerebral palsy.- Selective functional rhizotomy for the treatment of spasticity in children.- Electrophysiological monitoring in selective posterior rhizotomy for spasticity: principles, techniques and interpretation of responses.-Surgery in the dorsal root entry-zone: microsurgical DREZ-tomy (MDT) for the treatment of spasticity.- Longitudinal myelotomy for spasticity.- Destructive stereotatic procedures for spasticity directed to the brain and the cerebellum.- Other treatments.- The spastic bladder and its treatment.- Orthopedic surgical corrections of spastic disorders.- Indications.- Indications for surgery to treat adults with harmful spasticity.- Indications for surgery to treat children with spasticity due to cerebral palsy.- Conclusions.