What is the role neurosurgery in the treatment of spasticity?

Updated: Mar 01, 2018
  • Author: Krupa Pandey, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

The surgical treatment of spasticity aims at 4 different levels: the brain, spinal cord, peripheral nerves, and muscle. Each approach has its strengths and weaknesses, but none of them completely eliminates spasticity.

Stereotactic brain surgery, whether involving the globus pallidum, ventrothalamic nuclei, or cerebellum, has had little success. Cerebellar pacemakers have been tried, but with mixed results that were not ultimately encouraging.


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