Any patient who is left with Hemiplegia who's not recovered full function in the arm or leg is probably a candidate for some of these procedures. The risk must be weighed against the benefits. If a patient is very functional with the arm, but yet unhappy with the fact that the increased tone persists, sometimes we recommend they continue with therapy and botox and not undergo surgical procedure. If there is a significant impediment to function, I think that surgical procedures are usually the best way to achieve the increased degree of function that they're looking for.
Send this to a friend