Botulinum toxin infusions in the treatment of cerebral palsy
The use of botulinum toxin in cerebral palsy is a reliable and effective method for reducing spasticity, in the context of the general treatment of the condition.
The botulinum toxin injections are mean of kinematic improvement in cerebral palsy, joining the general improvement planning of children suffering from it.
Butilinum toxin is a mean of reducing muscle spasticity.
The treatment of children with cerebral palsy is done after studying and recording the movement disorder, planning the movement goals and selecting the main affected muscle groups.
Dr. N. Laliotis treats children with hemiplegic disease, with diplegic disease and with tetraplegic disease with the use of botulinum toxin, paying special attention to the precision of the injection technique.
Moreover, there are special applications of the botulinum toxin in extrapyramidal assistance, dactyloamons and its use postoperatively.
Botulinum toxin infusions in the diplegic form of cerebral palsy
Botulinum toxin injections are a mean of temporarily reducing spasticity in children, aged 3-15 years, with a diplegic attack of the spastic type of cerebral palsy.
Of the cases we dealt with, 2/3 had a diplegic attack with the main burden on the knee joint, while 1/3 on the ankle joint (dactyloamons).
The evaluation of the results was done by measuring the spasticity and assessing the kinetic change. In all patients there was a marked reduction in spasticity in the infused muscles.
This lasted from 3-6 months, but in some patients the reduction was maintained for 8-10 months.
Motor improvement was impressive in some children who achieved autonomous walking from supported standing movement, while in those who already had autonomous walking there was an improvement in gait kinetics.
Despite the return of spasticity, motor improvement remained.
The group of children with toe walking showed a great improvement in support. We applied botulinum toxin injections to plan the surgery, and in some children functional muscle lengthening of the lower limbs was performed simultaneously with botulinum toxin injections. The injections were repeated.