BRAIN and NERVE－神経研究の進歩60巻12号

2008年12月発行

特集 痙縮

選択的末梢神経縮小術と選択的脊髄後根遮断術

著者： 平孝臣¹ 堀智勝¹

所属機関： ¹東京女子医科大学脳神経外科学講座

ページ範囲：P.1427 - P.1436

文献概要

はじめに

　痙縮の神経外科的治療では患者の年齢，痙縮の分布範囲と程度，治療のゴールなどに応じて手術方法を選択することが重要である^1）。本稿では選択的末梢神経縮小術（selective peripheral neurotomy: SPN）と選択的脊髄後根遮断術（selective dorsal rhizotomy: SDR）を紹介するが，SPNはボツリヌス治療と同様にさまざまな局所の痙縮を対象とするのに対して，SDRは主として10歳以下の脳性麻痺児の痙性対麻痺に対して適応となる。

参考文献

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