摘要
目的回顾性分析9例书写痉挛患者的立体定向手术治疗的方法及疗效,探讨书写痉挛患者的治疗机制。方法运用脑深部微电极引导下的立体定位技术,对9例药物治疗无效及符合手术指证的书写痉挛患者行丘脑腹外侧核团损毁术,并分析其治疗效果。结果 9例患者即刻恢复书写功能,术后随访,无手术并发症,2-3 y的随访中,1例患者复发,余8例患者随访疗效稳定。结论立体定向丘脑腹外侧核团损毁术是书写痉挛的安全有效的治疗手段。
Objective To report retrospectively the clinical outcome of stereotactic ventrolateral thalamotomy for the nine patients with writer＇s cramp and to discuss possible mechanism of clinical symptom and surgical treatment. Methods Nine patients with writer＇s cramp,who were no effective by using drugs or match the surgical indications,received microelectrode-guided stereotactic ventrolateral thalamotomy and efficacy of the surgery was reviewed. Results Involuntary movements and tremor of the patients disappeared immediately after surgery and handwriting recovered. No complications happened. Through 2 - 3 year follow-up,1 patient reappeared cramp,the other 8 patients efficacy of the surgery remains stable. Conclusions Stereotactic ventrolateral thalamotomy is an effective and safe procedure for patients with writer＇s cramp.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2014年第9期838-839,共2页
Journal of Apoplexy and Nervous Diseases
基金
新疆维吾尔自治区自然科学基金(项目编号:2011211A064)
关键词
书写痉挛
微电极
丘脑
立体定位技术
Writer＇s cramp
Thalamus
Microelectrode
Stereotaxic techniques
