Physiological effects of selective tibial neurotomy on lower limb spasticity

Fève, A.; Decq, P.; Filipetti, P.; Verroust, J.; Harf, A.; N'Guyen, J. P.; Keravel, Y.; Fève, A
November 1997
Journal of Neurology, Neurosurgery & Psychiatry;Nov1997, Vol. 63 Issue 5, p575
Academic Journal
journal article
No abstract available.


Related Articles

  • Selective peripheral neurotomy (SPN) for spasticity in childhood. Sindou, M. P.; Simon, F.; Mertens, P.; Decq, P. // Child's Nervous System;Sep2007, Vol. 23 Issue 9, p957 

    Overview Excess spasticity leads to disability that is marked by impaired locomotion, handicapping deformities and, if not controlled, discomfort and pain. Selective peripheral neurotomy in the child is indicated for severe focal spasticity, when botulinum toxin injections cannot delay surgery...

  • Long term course of the H reflex after selective tibial neurotomy. Roujeau, T.; Lefaucheur, J.-P.; Slavov, V.; Gherardi, R.; Decq, P. // Journal of Neurology, Neurosurgery & Psychiatry;Jul2003, Vol. 74 Issue 7, p913 

    Objectives: This study was conducted to evaluate the long term clinical and electrophysiological outcome by recording the H reflex in a consecutive series of six patients treated by selective tibial neurotomy for spastic equinus foot.Method: The amplitudes of Hmax...

  • Utilization of intraoperative electromyography for selecting targeted fascicles and determining the degree of fascicular resection in selective tibial neurotomy for ankle spasticity. Sitthinamsuwan, Bunpot; Chanvanitkulchai, Kannachod; Phonwijit, Luckchai; Ploypetch, Teerada; Kumthornthip, Witsanu; Nunta-aree, Sarun // Acta Neurochirurgica;Jun2013, Vol. 155 Issue 6, p1143 

    Background: Selective tibial neurotomy (STN) is an effective neurosurgical intervention for treating ankle spasticity. The authors use intraoperative electromyography (EMG) for selecting targeted fascicles and determining the degree of fascicular resection in STN. This study reports surgical...

  • Evolution of the Neurosurgical Management of Spasticity. Boop, Frederick A. // Journal of Child Neurology;Jan2001, Vol. 16 Issue 1, p54 

    Focuses on the evolution of neurological treatment options for managing spasticity. History of the neurological management of spasticity; Concept of selective dorsal rhizotomy; Advantage and disadvantage of intrathecal baclofen; Problems with spinal epidural electrical stimulation;...

  • Surgical management of intractable spasticity. Barakat, Mohamed; Elhady, Waleed; Gouda, Mohamed; Taha, Mahmoud; Metwaly, Ibrahim; Barakat, Mohamed I // European Spine Journal;Mar2016, Vol. 25 Issue 3, p928 

    Background: Spasticity is motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes (muscle tone) with exaggerated tendon jerks, resulting from hyper-excitability of the stretch reflex, as one component of the upper motor neuron syndrome.Purpose:...

  • Kinetic and kinematic gait analysis in a spastic hemiplegic patient after selective tibial neurotomy: a case report. Ippei Kitade; Hidetaka Arishima; Ken-ichiro Kikuta // Neurology Asia;Dec2015, Vol. 20 Issue 4, p395 

    Kinematics-based studies before and after selective tibial neurotomy (STN) gait have not been performed. It is very important for spastic patients before and after STN to evaluate quality of gait motion. We examined the quantitative changes in kinetic and kinematic parameters in the gait of a...

  • Long-term neuromechanical results of selective tibial neurotomy in patients with spastic equinus foot. Buffenoir, Kévin; Decq, Philippe; Hamel, Olivier; Lambertz, Daniel; Perot, Chantal // Acta Neurochirurgica;Sep2013, Vol. 155 Issue 9, p1731 

    Background: The neuromechanical consequences of tibial neurotomy have not been extensively studied. Methods: Fifteen patients were evaluated before and after selective tibial neurotomy (after 2 months and after 15 months) by means of clinical, neurophysiological [tendon (T) reflexes, Hoffmann...

  • Excellent functional outcome following selective dorsal rhizotomy in a child with spasticity secondary to transverse myelitis. Mazarakis, N.; Ughratdar, I.; Vloeberghs, M. // Child's Nervous System;Nov2015, Vol. 31 Issue 11, p2189 

    Purpose: Selective dorsal rhizotomy (SDR) is a neurosurgical procedure used to treat spasticity in children with cerebral palsy (CP). The vast majority of studies to date suggest SDR is particularly effective in reducing lower limb spasticity in spastic diplegia with long-lasting effect. Method:...

  • Influence of Botulinum Toxin Therapy on Postural Control and Lower Limb Intersegmental Coordination in Children with Spastic Cerebral Palsy. Degelaen, Marc; de Borre, Ludo; Kerckhofs, Eric; de Meirleir, Linda; Buyl, Ronald; Cheron, Guy; Dan, Bernard // Toxins;Jan2013, Vol. 5 Issue 1, p93 

    Botulinum toxin injections may significantly improve lower limb kinematics in gait of children with spastic forms of cerebral palsy. Here we aimed to analyze the effect of lower limb botulinum toxin injections on trunk postural control and lower limb intralimb (intersegmental) coordination in...

  • Selective Median Nerve Neurotomy for Severe Flexion Deformity of Hand. Shrestha, Prabin; Shrestha, Isha Dhungana; Tamrakar, Samantha; Kolakshyapati, Manish // Nepal Journal of Neuroscience;2013, Vol. 10 Issue 1, p3 

    Limb spasticity can be due to any cranial and spinal pathology. Such problems can be partially or subtotally cured by selectively dividing the over excited nerve fascicles which are responsible for spasticity.Here we review the literature and share our experience of few cases of severe...


Read the Article


Sign out of this library

Other Topics