PMID: 6970507Jan 1, 1980Paper

Chronic cerebellar stimulation for cerebral palsy--five-year study

Acta neurochirurgica. Supplementum
R DavisH Engle

Abstract

Two hundred sixty-two patients were implanted with cerebellar stimulator systems since February 1974. Cerebral Palsy (CP) patients constituted 88% (230) of this series. The age range was 3 to 53 years with 70% under 20 years of age. Half the CP series were severely affected with the rest being moderately to mildly involved. Athetosis was present in 50%. The primary effect of CCS has been a lowering of spastic muscle tone in 90% of the patients. Improvements in control of immature reflexes such as startle response, head control, scissoring, balance and sitting occur in the first month. Athetosis progressively decreases to a 50% level. In the moderate mild CP group abilities improve over the first six months leading to better feeding, dressing, and ambulation with clearer speech and less drooling. After six months, 25 of 48 patients were out of wheelchairs, walking. A further 47 patients were ambulating better. No deaths from surgery. Five have died during the 5 years from other causes. Eleven patients (4%) have had infected systems. Equipment problems especially with malfunctioning radio receivers (40%) have served as blind controls--spasticity returning and abilities decreasing. Replacements with another receiver or with a tota...Continue Reading

Citations

Jan 20, 2000·Muscle & Nerve·M D Smyth, W J Peacock
Jun 26, 2004·Current Neurology and Neuroscience Reports·Steven Karceski, Paul Mullin
May 2, 2001·Pediatric Rehabilitation·M E Gormley
Mar 1, 1983·Journal of Neurology, Neurosurgery, and Psychiatry·G D Wright, R O Weller
Nov 1, 1992·Indian Journal of Pediatrics·A K Purohit, I Dinakar
Jul 1, 2007·Neuromodulation : Journal of the International Neuromodulation Society·Kris van KuyckBart Nuttin
Jun 6, 2019·The Cerebellum·Lauren N MiterkoRoy V Sillitoe
May 1, 1981·Journal of Neurology, Neurosurgery, and Psychiatry·D L McLellanF Renouf
Aug 28, 2021·Life·Ryoma MorigakiYasushi Takagi

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