| 选择性丘脑毁损术治疗运动失调症36例临床分析 |
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| 引用本文： | 蔡晓东,高永中,李维平,大江千广,柴崎撤,闫大卫.选择性丘脑毁损术治疗运动失调症36例临床分析[J].立体定向和功能性神经外科杂志,2009,22(3). |
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| 作者姓名： | 蔡晓东 高永中 李维平 大江千广 柴崎撤 闫大卫 |
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| 作者单位： | 蔡晓东,高永中,李维平(深圳大学医学院附属第一医院(深圳市第二人民医院)神经外科,深圳,518035);大江千广,柴崎撤,闫大卫(日本国群马县高崎市日,高病院功能神经外科及伽玛刀治疗中心)
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| 摘 要： | 目的 探讨选择性丘脑毁损术治疗不同类型运动失调症的方法和疗效.方法 仔细分析36例不同类型运动失调的病人(帕金森病23例、书写痉挛症10例、痉挛性斜颈2例、全身扭转性痉挛症2例)等运动失调的临床特征,选择正确的丘脑靶核团,运用脑深部微电极引导下的立体定向技术准确定位靶核团,并对其进行微小体积的射频毁损,有效控制了运动失调.结果 全部病人的症状术后立即得到改善,随访2～16个月,1例帕金森病人震颤复发,同一病人出现较长时间的术后感觉异常并发症.无偏瘫和永久的构音障碍.结论 选择性丘脑毁损术对治疗不同类型运动失调症是十分有效的.
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| 关 键 词： | 丘脑腹中间核 丘脑毁损术 运动失调 |
Use of selective thalamotomy for various kinds of movement disorder |
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| Cai Xiaodong,Gao Yongzhong,Li Weiping,et al..Use of selective thalamotomy for various kinds of movement disorder[J].Chinese Journal of Stereotactic and Functional Neurosurgery,2009,22(3). |
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| Authors: | Cai Xiaodong Gao Yongzhong Li Weiping |
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| Institution: | Cai Xiaodong,Gao Yongzhong,Li Weiping,et al.Shenzhen second people's hospital,Shenzhen,Guangdong,518035,China |
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| Abstract: | Objective To discuss the selective thalamotomy with Vim and Vo as targets for Parkinson's disease and other movement disorders.Methods Using the thalamotomy with microrecording,36 cases with movement disorders were treated between 2007 and 2009.They were 23 cases of PD,and 10 cases of writer's cramps,2 cases of spasmodic torticollis,1 case of torsion spasm.The patients with tremor as a major manifestation underwent the thalamotomy with Vim as target,the patients with rigidity or dystonia as a major manifest... |
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| Keywords: | Vim Thalamotomy Movement disorder |
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