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Cervical dorsal rhizotomy for upper limbs spasticity. Case report.

Ítalo T Oliveira FilhoPaulo Cesar RomeroAlexandre Pingarilho RezendeBruno Braga Sisnando CostaSaul Dalla OliveiraEmílio Afonso França FontouraRicardo Vieira Botelho
Published in: Acta neurochirurgica (2024)
Spasticity is a prevalent symptom of upper motor neuron syndrome, becoming debilitating when hindering voluntary movement and motor function and causing contractures and pain. Functional neurosurgery plays a crucial role in treating severe spasticity. Despite extensive literature on SDR for lower limb spasticity, there is a scarcity of papers regarding the procedure in the cervical region to alleviate upper limb spasticity. This case report details a cervical dorsal rhizotomy (CDR) performed for upper limb spasticity, resulting in significant improvement in spasticity with sustained outcomes and low complication rates. Neuroablative procedures like CDR become an option to treat spasticity.
Keyphrases
  • upper limb
  • case report
  • botulinum toxin
  • spinal cord injury
  • neuropathic pain
  • lower limb
  • spinal cord
  • systematic review
  • chronic pain
  • early onset
  • pain management
  • children with cerebral palsy