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Neurosurgical intervention for cervical disk disease in dystonic cerebral palsy
Author(s) -
Pollak Lea,
Schiffer Juana,
Klein Colin,
Mirovsky Yigal,
Copeliovich Lionel,
Rabey José Martin
Publication year - 1998
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.870130418
Subject(s) - medicine , magnetic resonance imaging , surgery , cervical spondylosis , spinal cord compression , lesion , cerebral palsy , spastic , cervical spine , spinal cord , radiology , physical therapy , pathology , alternative medicine , psychiatry
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 under went 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.