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Cerebral palsy is condition in which there is improper development of brain & some other parts of the body. CP child may be mentally weak to grossly retarded.Children suffering from this disorder have stiff limbs, so they cannot sit or move or do work. But if they undergo stereotactic surgery viz. pallidiotomy, dentate nucleotomy etc.(Ablative procedure) Or stimulation (DBS- Deep Brain Stimulation), then limbs become loose and they can walk or sit and work independently. This will not only relieve spasticity of lower limbs and upper limbs but also of neck muscles. Postoperative physiotherapy and electric stimulation greatly helps in regaining normal power of limbs and activity. Spasticity due to any cause like cerebral palsy, post stroke, post trauma ( head injury, spine injury ), degenerative ( brain, spine ) demyelination or infection, is relieved with stereotactic surgery.
Case History 1:
Master P aged 5 years was a case of cerebral palsy, with spasticity of both upper & lower limbs, both upper limbs had fixed flexion at elbow & closed grip & lower limbs were crossed & restricted movements of both lower limbs; he was unable to sit with crossed leg, stand on foot, or walk with support. Bilateral Lumbar selective spinal rhizotomy was done under GA under IITV with Radio-Frequency Lesion Generator. Post operatively with physiotherapy over next 6months - child was able to use upper limbs & walk freely.
Case History 2:
One twelve years old baby girl had cerebral palsy since 11 years. Her hands & legs were stiff, her left leg was remaining 1/2 feet above ground, making it impossible to walk, her hands were in tight fist (grip) position, so she could not hold or do any work with hands. Right hand was staying above shoulder & neck was turned to one side. Physiotherapy/medicines since 1 year was not giving any relief from spasticity.She was operated for bilateral selective Lumbar spinal rhizotomy with Radio-Frequency, under IITV guidance, under anaesthesia. As procedure was minimally invasive,patient was discharged next day. Follow up treatment with medicines, physiotherapy & electric stimulation, relieved her stiffness, her hands- grip were open, her right hand come down shoulder, her left leg touched ground & still further she continued to improve.
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