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Child's Nervous System

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01-11-2008 | Brief Communication

Two cases of improvement of smooth pursuit eye movements after selective posterior rhizotomy

Authors: D. Hořínek, D. Hoza, R. Černý, M. Vyhnálek, D. Sturm, M. Bojar, P. Libý, M. Oweimrin, M. Tichý

Published in: Child's Nervous System | Issue 11/2008

Abstract

Objective

Selective posterior rhizotomy (SPR) represents a standard neurosurgical approach in the treatment of spasticity in children with cerebral palsy (CP). Beside the reduction of spasticity in lower limbs, SPR may have suprasegmental effects, considerably above the surgery site. In this communication, we report on the improvement of smooth pursuit eye movements (SPEM) in two children after SPR.

Material and methods

Four children with CP underwent SPR. Eye movements were registered by infrared video-oculography before and after the surgery.

Results

The analysis of SPEM showed the improvement of the correlation coefficient of the eye response to the stimulus after SPR in two subjects. Improvement of SPEM performance was largely due to suppression of spontaneous fixation nystagmus.

Conclusion

SPR may lead to the improvement of SPEM in children with CP. The influence of SPEM improvement on quality of life in a group of severely disabled nonambulant children with CP remains to be assessed.

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Title: Two cases of improvement of smooth pursuit eye movements after selective posterior rhizotomy
Authors: D. Hořínek
D. Hoza
R. Černý
M. Vyhnálek
D. Sturm
M. Bojar
P. Libý
M. Oweimrin
M. Tichý
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Child's Nervous System / Issue 11/2008
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-008-0673-x

At a glance: The STEP trials

Springer Medicine

Two cases of improvement of smooth pursuit eye movements after selective posterior rhizotomy

Abstract

Objective

Material and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Material and methods

Results

Conclusion

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