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CASE REPORT
Year : 2016  |  Volume : 2  |  Issue : 1  |  Page : 40-42

Dual static encephalopathies - cerebral palsy with arrested hydrocephalus: A challenging spasticity management


Department of Neurosurgery, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India

Correspondence Address:
Aniruddh Kumar Purohit
Department of Neurosurgery, Nizam's Institute of Medical Sciences, Punjagutta, Hyderabad - 500 018, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-4264.188160

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Cerebral palsy associated with arrested hydrocephalus is an uncommon occurrence posing management challenge in the treatment of spasticity. We present a 14 year old male who was having spastic diplegia and arrested hydrocephalus due to congenital aqueductal stenosis. He was having spasticity of MAS 1-3 in the lower limbs. We haven't found such a type of dual static encephalopathies in the literature. In such a challenging scenario Selective Posterior Rhizotomy (SPR) may lead to alteration in the CSF dynamics, so Selective Motor Fasciculotomies (SMF) were performed to relieve spasticity.


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