Neurosurgical intervention for cervical disk disease in dystonic cerebral palsy.
Identifieur interne : 004370 ( PubMed/Curation ); précédent : 004369; suivant : 004371Neurosurgical intervention for cervical disk disease in dystonic cerebral palsy.
Auteurs : L. Pollak [Israël] ; J. Schiffer ; C. Klein ; Y. Mirovsky ; L. Copeliovich ; J M RabeySource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1998.
English descriptors
- KwdEn :
- Adult, Cerebral Palsy (diagnosis), Cerebral Palsy (surgery), Cervical Vertebrae (pathology), Cervical Vertebrae (surgery), Diagnostic Imaging, Dystonia (diagnosis), Dystonia (surgery), Female, Humans, Intervertebral Disc Displacement (diagnosis), Intervertebral Disc Displacement (surgery), Male, Middle Aged, Neurologic Examination, Spinal Cord Compression (diagnosis), Spinal Cord Compression (surgery).
- MESH :
- diagnosis : Cerebral Palsy, Dystonia, Intervertebral Disc Displacement, Spinal Cord Compression.
- pathology : Cervical Vertebrae.
- surgery : Cerebral Palsy, Cervical Vertebrae, Dystonia, Intervertebral Disc Displacement, Spinal Cord Compression.
- Adult, Diagnostic Imaging, Female, Humans, Male, Middle Aged, Neurologic Examination.
Abstract
We report five young patients with athetoid-spastic cerebral palsy who had deteriorated neurologically. Magnetic resonance imaging (MRI) was used to investigate suspected compressive cervical spine lesion. Cervical spondylosis with disk protrusions was found in all patients. Four patients underwent surgery by an anterior approach with insertion of a bone graft resulting in substantial clinical improvement. The other patient, diagnosed 8 years after onset of symptoms, was treated conservatively. The availability of MRI makes early recognition of cervical cord compression possible, allowing effective surgical intervention in this special group of patients.
DOI: 10.1002/mds.870130418
PubMed: 9686780
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pubmed:9686780Le document en format XML
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<author><name sortKey="Pollak, L" sort="Pollak, L" uniqKey="Pollak L" first="L" last="Pollak">L. Pollak</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel.</nlm:affiliation>
<country xml:lang="fr">Israël</country>
<wicri:regionArea>Department of Neurology, Assaf Harofeh Medical Center, Zerifin</wicri:regionArea>
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<author><name sortKey="Schiffer, J" sort="Schiffer, J" uniqKey="Schiffer J" first="J" last="Schiffer">J. Schiffer</name>
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<author><name sortKey="Klein, C" sort="Klein, C" uniqKey="Klein C" first="C" last="Klein">C. Klein</name>
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<author><name sortKey="Mirovsky, Y" sort="Mirovsky, Y" uniqKey="Mirovsky Y" first="Y" last="Mirovsky">Y. Mirovsky</name>
</author>
<author><name sortKey="Copeliovich, L" sort="Copeliovich, L" uniqKey="Copeliovich L" first="L" last="Copeliovich">L. Copeliovich</name>
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<author><name sortKey="Rabey, J M" sort="Rabey, J M" uniqKey="Rabey J" first="J M" last="Rabey">J M Rabey</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Neurosurgical intervention for cervical disk disease in dystonic cerebral palsy.</title>
<author><name sortKey="Pollak, L" sort="Pollak, L" uniqKey="Pollak L" first="L" last="Pollak">L. Pollak</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel.</nlm:affiliation>
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<author><name sortKey="Klein, C" sort="Klein, C" uniqKey="Klein C" first="C" last="Klein">C. Klein</name>
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<author><name sortKey="Mirovsky, Y" sort="Mirovsky, Y" uniqKey="Mirovsky Y" first="Y" last="Mirovsky">Y. Mirovsky</name>
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<author><name sortKey="Copeliovich, L" sort="Copeliovich, L" uniqKey="Copeliovich L" first="L" last="Copeliovich">L. Copeliovich</name>
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<author><name sortKey="Rabey, J M" sort="Rabey, J M" uniqKey="Rabey J" first="J M" last="Rabey">J M Rabey</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="1998" type="published">1998</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Cerebral Palsy (diagnosis)</term>
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<term>Cervical Vertebrae (pathology)</term>
<term>Cervical Vertebrae (surgery)</term>
<term>Diagnostic Imaging</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Intervertebral Disc Displacement (diagnosis)</term>
<term>Intervertebral Disc Displacement (surgery)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neurologic Examination</term>
<term>Spinal Cord Compression (diagnosis)</term>
<term>Spinal Cord Compression (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cerebral Palsy</term>
<term>Dystonia</term>
<term>Intervertebral Disc Displacement</term>
<term>Spinal Cord Compression</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Cervical Vertebrae</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Cerebral Palsy</term>
<term>Cervical Vertebrae</term>
<term>Dystonia</term>
<term>Intervertebral Disc Displacement</term>
<term>Spinal Cord Compression</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Diagnostic Imaging</term>
<term>Female</term>
<term>Humans</term>
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<term>Middle Aged</term>
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<front><div type="abstract" xml:lang="en">We report five young patients with athetoid-spastic cerebral palsy who had deteriorated neurologically. Magnetic resonance imaging (MRI) was used to investigate suspected compressive cervical spine lesion. Cervical spondylosis with disk protrusions was found in all patients. Four patients underwent surgery by an anterior approach with insertion of a bone graft resulting in substantial clinical improvement. The other patient, diagnosed 8 years after onset of symptoms, was treated conservatively. The availability of MRI makes early recognition of cervical cord compression possible, allowing effective surgical intervention in this special group of patients.</div>
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<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
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<ArticleTitle>Neurosurgical intervention for cervical disk disease in dystonic cerebral palsy.</ArticleTitle>
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<Abstract><AbstractText>We report five young patients with athetoid-spastic cerebral palsy who had deteriorated neurologically. Magnetic resonance imaging (MRI) was used to investigate suspected compressive cervical spine lesion. Cervical spondylosis with disk protrusions was found in all patients. Four patients underwent surgery by an anterior approach with insertion of a bone graft resulting in substantial clinical improvement. The other patient, diagnosed 8 years after onset of symptoms, was treated conservatively. The availability of MRI makes early recognition of cervical cord compression possible, allowing effective surgical intervention in this special group of patients.</AbstractText>
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