When there is predominant sternocleidomastoid involvement, this muscle can be selectively denervated. Hemifacial spasm is effectively treated by microvascular decompression of the VII cranial nerve. Spasticity is a common problem after spinal cord injury or brain injury, with multiple sclerosis, and in children or adults with cerebral palsy. Other There are certain other indications for functional neurosurgical procedures, although less common. Stereotactic capsulotomy or cingulotomy can be used in patients with exceedingly refractory obsessive-compulsive disorder or depression.
Endoscopic sympathectomy is used to treat hyperhidrosis of the upper limb.
Spinal cord stimulation is also useful in refractory patients with severe pain due to peripheral vascular disease. Electrical stimulation of sacral nerves is effective in certain incontinent patients. Phrenic nerve stimulation can be used to treat diaphragmitis paralysis. For a consultation or more information, contact Dr. Patrick Tracy.