Cervical dorsal rhizotomy for upper limbs spasticity. Case report.

Teles de Oliveira Filho, Italo; Romero, Paulo Cesar; Rezende, Alexandre Pingarilho; Costa, Bruno Braga Sisnando; Oliveira, Saul Dalla; Fontoura, Emílio Afonso França; Botelho, Ricardo Vieira · Acta Neurochir (Wien) · 2024

case_report · Level V

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Abstract

Spasticity is a prevalent symptom of upper motor neuron syndrome, becoming debilitating when hindering voluntary movement and motor function and causing contractures and pain. Functional neurosurgery plays a crucial role in treating severe spasticity. Despite extensive literature on SDR for lower limb spasticity, there is a scarcity of papers regarding the procedure in the cervical region to alleviate upper limb spasticity. This case report details a cervical dorsal rhizotomy (CDR) performed for upper limb spasticity, resulting in significant improvement in spasticity with sustained outcomes and low complication rates. Neuroablative procedures like CDR become an option to treat spasticity.

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