Summary
Percutaneous selective radiofrequency (RF) neurotomy is described in the treatment of spasticity dominant in femoral adductor and gastrocnemius muscles. The effectiveness of neurotomy has been tested by means of infiltration of nerves with local anesthetic agents before neurotomy in one case. A temperature monitoring needle electrode system with 5 mm noninsulated tip has been used for localization of the nerves by stimulation. Percutaneous obturator neurotomy was performed in the most proximal portion accesible. Posterior tibial neurotomy was performed in two branches of the nerve which innervates the medial and lateral heads of gastrocnemius. Four lesions lasting 60 seconds were made in four different directions between 65° and 70°.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Brunelli G, Brunelli F (1983) Partial selective denervation in spastic palsies (hyponeurotization). Microsurg 4: 221–224
Gross C (1979) Spasticity-Clinical classification and surgical treatment. In: Krayenbiihl H (eds) Advances and technical standards in neurosurgery, vol 6. Springer, Wien New York, pp 55–97
Felsentahl G (1979) Spasticity modified by obturatory nerve block. MD State Med J: 123–126
Silver CM, Simon SD (1959) Gastrocnemius muscle resection (Silverskiold operation) for spastic-equinus deformity in cerebral palsy. J Bone Joint Surg 41 A: 1021–1028
Tardieu G, Got C, Lespargot A (1975) Indication d’un nouveau type d’infiltration au point moteur (alcool a 96°). Application clinique d’une étude expérimentale. Ann Méd Physique 18: 539–557
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Springer-Verlag
About this paper
Cite this paper
Kanpolat, Y., Cağlar, C., Akiş, E., Ertürk, A., Uluğ, H. (1987). Percutaneous Selective RF Neurotomy in Spasticity. In: Gybels, J., Hitchcock, E.R., Meyerson, B., Ostertag, C., Rossi, G.F. (eds) Advances in Stereotactic and Functional Neurosurgery 7. Acta Neurochirurgica Supplementum, vol 39. Springer, Vienna. https://doi.org/10.1007/978-3-7091-8909-2_25
Download citation
DOI: https://doi.org/10.1007/978-3-7091-8909-2_25
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-8911-5
Online ISBN: 978-3-7091-8909-2
eBook Packages: Springer Book Archive