BACKGROUND Spasticity affects a large number of children,mainly in the setting of cerebral palsy,however,only a few paediatric neurosurgeons deal with this problem.This is mainly due to the fact that until 1979,when F...BACKGROUND Spasticity affects a large number of children,mainly in the setting of cerebral palsy,however,only a few paediatric neurosurgeons deal with this problem.This is mainly due to the fact that until 1979,when Fasano has published the first series of selective dorsal rhizotomy(SDR),neurosurgeons were able to provide such children only a modest help.The therapy of spasticity has made a great progress since then.Today,peroral drugs,intramuscular and intrathecal medicines are available,that may limit the effects of the disease.In addition,surgical treatment is gaining importance,appearing in the form of deep brain stimulation,peripheral nerve procedures and SDR.All these options offer the affected children good opportunities of improving the quality of life.CASE SUMMARY A 15-year old boy is presented that was surgically treated for spasticity as a result of cerebral palsy.Laminotomy at L1 level was performed and L1 to S1 nerve roots were isolated and divided in smaller fascicles.Then,the SDR was made.CONCLUSION We describe a patient report and surgical technique of SDR that was performed in Slovenia for the first time.展开更多
目的 了解一氧化氮合酶 (NOS)在背根损伤的背根节及邻近未受损之背根节中表达的变化。方法 采用部分去背根传入动物模型 ,通过免疫组织化学 ABC法 ,观察猫背根节中 n NOS及 e NOS同工酶阳性免疫产物的分布、阳性神经元的数量及变化。...目的 了解一氧化氮合酶 (NOS)在背根损伤的背根节及邻近未受损之背根节中表达的变化。方法 采用部分去背根传入动物模型 ,通过免疫组织化学 ABC法 ,观察猫背根节中 n NOS及 e NOS同工酶阳性免疫产物的分布、阳性神经元的数量及变化。结果 猫背根节中 n NOS阳性反应物主要分布于小神经元中 ;背根被切断的 L5背根节及邻近完好的 L6 备用背根节中 n NOS阳性小神经元数量较非术侧均有增加 ;e NOS在成年猫背根节神经元中未见表达。结论 在背根节神经元中表达的 n NOS及由 n NOS催化产生的 NO可能与神经损伤和修复的生理病理过程有关。展开更多
文摘BACKGROUND Spasticity affects a large number of children,mainly in the setting of cerebral palsy,however,only a few paediatric neurosurgeons deal with this problem.This is mainly due to the fact that until 1979,when Fasano has published the first series of selective dorsal rhizotomy(SDR),neurosurgeons were able to provide such children only a modest help.The therapy of spasticity has made a great progress since then.Today,peroral drugs,intramuscular and intrathecal medicines are available,that may limit the effects of the disease.In addition,surgical treatment is gaining importance,appearing in the form of deep brain stimulation,peripheral nerve procedures and SDR.All these options offer the affected children good opportunities of improving the quality of life.CASE SUMMARY A 15-year old boy is presented that was surgically treated for spasticity as a result of cerebral palsy.Laminotomy at L1 level was performed and L1 to S1 nerve roots were isolated and divided in smaller fascicles.Then,the SDR was made.CONCLUSION We describe a patient report and surgical technique of SDR that was performed in Slovenia for the first time.
文摘目的 了解一氧化氮合酶 (NOS)在背根损伤的背根节及邻近未受损之背根节中表达的变化。方法 采用部分去背根传入动物模型 ,通过免疫组织化学 ABC法 ,观察猫背根节中 n NOS及 e NOS同工酶阳性免疫产物的分布、阳性神经元的数量及变化。结果 猫背根节中 n NOS阳性反应物主要分布于小神经元中 ;背根被切断的 L5背根节及邻近完好的 L6 备用背根节中 n NOS阳性小神经元数量较非术侧均有增加 ;e NOS在成年猫背根节神经元中未见表达。结论 在背根节神经元中表达的 n NOS及由 n NOS催化产生的 NO可能与神经损伤和修复的生理病理过程有关。
