What kind of cerebral palsy patients are suitable for surgical treatment?

  What kind of disease is cerebral palsy and why is it so difficult to treat? We say that cerebral palsy is a non-progressive brain injury caused by various reasons from before birth to one month after birth, which mainly manifests as motor disorders and postural abnormalities, and is often combined with epilepsy, mental retardation, and speech disorders.  Causes include placental abnormalities, fetal malposition, intrauterine distress, prematurity, multiple births, birth asphyxia, and neonatal hypoxic-ischemic encephalopathy, nuclear jaundice, infection, trauma, cerebral hemorrhage, and brain malformations. The manifestations of cerebral palsy can be divided into several types. For example, some children have stiff limbs as the main manifestation, which usually belongs to the spastic type; some children have involuntary involuntary movements of the limbs and head, and when they make purposeful movements, the involuntary movements of the whole body increase, such as “squeezing” of the face, difficulty in speaking and swallowing, often accompanied by drooling, which usually belongs to the tachycardia type; and some children have muscle weakness of the limbs and head. Some children are characterized by muscle weakness in the limbs, inability to maintain body balance, unsteady gait, and inability to complete fine motor movements such as pointing with fingers and nose, which usually belong to the ataxia type. Some children have more than one type of palsy at the same time.  The cause of cerebral palsy is complex, and there are differences in the location and degree of brain injury. Therefore, for a long time, there has been no ideal treatment for cerebral palsy, and usually only symptomatic treatment such as physical therapy, functional exercise, and the use of orthopedic equipment can be used to partially relieve symptoms.  With the gradual advancement of research on cerebral palsy, surgical methods for the treatment of cerebral palsy have emerged.  For spastic cerebral palsy, selective posterior spinal nerve rhizotomy is effective in relieving muscle spasms in the limbs, and orthopedic orthopedic surgery is required for those who have been ill for a particularly long time and have joint deformities.  What kind of cerebral palsy patients are suitable for surgical treatment? The patient should have a certain degree of intelligence and be able to cooperate with post-surgical rehabilitation. Although the degree of muscle spasm in the limbs is severe, there is no joint or spinal deformation yet, and the abnormal posture can usually be reduced after falling asleep; the limbs should have a certain degree of strength and can be lifted off the bed when lying down. The patient’s age is usually after 4 to 5 years old, and functional training and physical therapy should be carried out before the age of 4 to prevent the symptoms from developing too fast. Wait until the time is ripe before choosing an appropriate surgical procedure. Of course, whether a particular patient is suitable for surgical treatment requires a detailed examination of the patient before a decision can be made.  For patients with tardive dyskinesia and torsional spasticity, there were no effective medications or surgical methods in the past. Patients were often forced to give up treatment, suffer a serious decline in quality of life, and endure great pain as a result. At present, Xuanwu Hospital uses the advanced CRW stereotactic surgery system, combined with high-precision brain magnetic resonance scanning, to precisely localize and destroy the relevant lesions in the brain, which can significantly reduce the motor symptoms of patients with this type of cerebral palsy.  This type of surgery is relatively safe and usually has no serious complications. The purpose of surgery is to improve symptoms and create conditions for further functional recovery. After surgery, patients should adhere to functional training under the guidance of a medical professional.