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单侧双靶点毁损治疗偏身性肌张力障碍
引用本文:秦明筠,李勇杰,张宇清.单侧双靶点毁损治疗偏身性肌张力障碍[J].中国临床神经外科杂志,2003,8(5):359-361.
作者姓名:秦明筠  李勇杰  张宇清
作者单位:1. 广州市第一人民医院神经外科,广东,广州,510180
2. 首都医科大学宣武医院功能神经外科,北京,100053
摘    要:目的 为观察单侧双靶点毁损对偏身性肌张力障碍的临床疗效。方法 通过MRI定位,微电极技术术中对靶点行功能确认,对5例偏身性肌张力障碍患施行脑立体定向病变肢体对侧苍白球腹后部和丘脑腹外侧核联合毁损术治疗。结果 5例患术后运动功能显改善。结论应用单侧双靶点毁损治疗偏身性肌张力障碍是一个安全有效的方法。

关 键 词:偏身性肌张力障碍  立体定向  苍白球  丘脑
文章编号:1009-153X(2003)05-0359-03
修稿时间:2002年11月29

Stereotactic Unilateral Pallidotomy and Thalamotomy for Treatment of Hemidystonia
QIN Ming-jun,LI Yong-jie,ZHANG Yu-qing.Stereotactic Unilateral Pallidotomy and Thalamotomy for Treatment of Hemidystonia[J].Chinese Journal of Clinical Neurosurgery,2003,8(5):359-361.
Authors:QIN Ming-jun  LI Yong-jie  ZHANG Yu-qing
Institution:QIN Ming-jun,LI Yong-jie,ZHANG Yu-qing. Department of Neurosurgery,Guangzhou First People' s Hospital,Guangzhou Guangdong 510180,China
Abstract:Objective To investigate the curative effect of stereotactic unilateral pallidotomy and thalamotomy on hemidyslonia. Method Five cases of hemidystonia were treated by combined posteroventral pallidotomy and ventrolateral thalamotomy contralateral to the affected limbs according to the operative target localized by MRI and electrophysiologic recording with microeleclrode. Result The movement function of the involved limbs was improved in 5 patients with hemidystonia. Conclusion The stereotactic unilateral pallidotomy and thalamotomy are safe and effective method of treatment for the patients with intractable hemidystonia.
Keywords:Hemidystonia  Stereotactic surgery  Pallidotoray  Thalamotomy
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