AI Article Synopsis
- The study investigates muscle tone in individuals with severe spasticity to determine the need for surgery by analyzing hypertonia reduction under general anesthesia.
- A case involving a girl with Sjögren-Larsson syndrome showed significant reduction in muscle tone but minimal improvement in motion range after treatment with muscle relaxants.
- Ultimately, the findings led to the decision against performing the proposed neurosurgery, highlighting the study's usefulness in making treatment decisions for spasticity.
Article Abstract
Introduction: Study of muscle tone in individuals with severe spasticity (Modified Asworth Scale - MAS:3) under general anesthesia can confirm or rule out the eventual necessity of the impending spasticity relieving ablative neurosurgery by observing the hypertonia reduction and passive range of motion expansion. Therefore, what we measure under muscle relaxants is practically a fixed deformity.
Case Presentation: The study was performed on a girl with Sjögren-Larsson syndrome, presenting with icthyosis and spastic diplegia. Proposed intervention was Dorsal Rhizotomy. Under general anesthesia, with and without muscle relaxants, hypertonia was significantly reduced (MAS:1), but the angle of motion did not increase much.
Conclusion: We decided not to perform such a neurosurgical procedure. In ambiguous situations, the proposed study can help in decision-making for spasticity treatment.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1159/000514329 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!