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书写痉挛的外科治疗 被引量:9

Surgical treatment for writer's cramp
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摘要 目的 回顾书写痉挛的立体定向丘脑腹外侧核毁损术治疗方法及疗效 ,探讨书写痉挛的发生和治疗的机理。方法 运用微电极导向立体定向技术 ,对 8例书写痉挛患者实施了丘脑腹外侧核毁损术 ,进行疗效分析。结果  8例患者术后书写功能即刻恢复正常 ,无手术并发症 ,1~ 2年的随访疗效稳定。结论 立体定向丘脑腹外侧核毁损术是治疗书写痉挛有效、安全的治疗手段。 Objective To report retrospectively the clinical outcome of stereotactic ventrolateral thalamotomy for the patients with writer's cramp and to discuss possible mechanism of clinical symptom and surgical treatment.Methods Eight patients with writer's cramp 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 1-2 year follow-up,efficacy of the surgery remains stable.Conclusions Stereotactic ventrolateral thalamotomy is an effective and safe procedure for patients with writer's cramp.
出处 《立体定向和功能性神经外科杂志》 2003年第1期20-22,共3页 Chinese Journal of Stereotactic and Functional Neurosurgery
基金 北京市科委基金资助项目 (95 330 40 0 1)
关键词 书写痉挛 丘脑腹外侧核 立体定向技术 外科治疗 Writer's cramp Ventrolateral thalamotomy Stereotaxic techniques
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参考文献6

  • 1潘绵顺,郑惠民.书写痉挛的临床诊断与治疗[J].中国实用内科杂志,2000,20(12):733-734. 被引量:11
  • 2李勇杰.运动障碍病1135例手术治疗报告[J].中华神经外科杂志,2001,17(6):350-353. 被引量:24
  • 3[3]Odergren T,Stone Elander S, Ingvar M. Cerebral and cerebellar activation in correlation to the action - induced dystonia in writer's cramp. Mov Disord, 1998;13(3):497
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  • 6[6]Mempe E, Kucinski L, Witkiewicz B. Writer' s cramp syndrome treated successfully by thalamotomy. Neuro Neurochir Pol,1986;20(5) :475

二级参考文献6

  • 1潘绵顺.书写痉挛[J].中国实用内科杂志,1995,15(5):303-304. 被引量:4
  • 2潘绵顺 周广智.书写痉挛14便临床分析[J].中国实用内科杂志,1993,13(10):613-613.
  • 3潘绵顺,中国实用内科杂志,1993年,13卷,10期,613页
  • 4李勇杰,中华外科杂志,2000年,38卷,165页
  • 5李勇杰,中华外科杂志,2000年,38卷,422页
  • 6李勇杰,中华外科杂志,1998年,36卷,603页

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