Functional Neurosurgery is a subspeciality of neurosurgery comprising a braod spectrum of therapy principles and conditions. Most conditions are not only neurosurgical but als neuropediatric issues. They require a long-term treatment with technical know-how as well as empathy and experience.
A high level of expertise can be offered due to the close collaboration with colleagues of Adult Functional Neurosurgery, that offers new horizons to innovative technologies and solutions for your child.
In collaboration with Adult Functional Neurosurgeons, children can be treated with innovative systems for Deep Brain Stimulation (“brain pace maker”) in most precise and minimally invasive procedures that do not require so-called stereotactic frames (frameless stereotaxy). Deep brain stimulation can modulate activity of deep brain areas that regulate motor functions and fine motor skills to alleviate or diminish movement disorders (e.g. Parkinson’s disease, dyskinesia, dystonia in cerebral palsy). Deep Brain Stimulation (DBS) is more effective than medical treatment and a very safe procedure as proven by many internation scientific studies in the past decade. The new, frameless STarFix-System is a major improvement in patient saefety, comfort and precision. Additionally, duration of surgical procedures and anaesthesia can be minimized. Thus, the frameless stereotactic DBS implantation is perfectly tailored for children. Pediatric Neurosurgery Leipzig is one of the few European centers to offer frameless stereotactic procedures for Deep Brain Stimulation.
For patients suffering from spasticity, medical treatment is often insufficient. Furthermore, functional worsening dimishes positive effects of medication over the time of treatment leaving side-effects of oral application. Many international studies have also proven that early treatment with intrathecal medication is more effective has less side effects. Intrathecal application means (continuous application of substances into the spinal canal’s cerebrospinal fluid (CSF). For intrathecal baclofen therapy (ITB), special pediatric pump systems and catheters are available.
A subgroup of patients with spasticity may be given ability to walk independently by so-called Selective Dorsal Rhizotomy (SDR). Selective Dorsal Rhizotomy is an operation that reduced spasticity in the lower extremities by reducing the abnormous tone of the musculature caused by increased feedback mechanism to the spinal cord. This surgical procedures have been carried out successfully as early as the 1910s in Germany and proved their long-term superiority over other medical treatment in many patients.
Treatment of spasticity is always an interdisciplinary challenge for the team of neurosurgeon and neuropediatrician.
For further informations about spasticity therapy and functional neurosurgery please send an E-Mail to: