Simultaneous Microsurgical DREZ-otomy of Cervical and Lumbosacral Spine for Tetra-Spastic Status with Double Hemiparesis

Authors

  • Deepak Agrawal Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India
  • Rajesh Kumar Meena Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India
  • Ramesh S. Doddamani Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India
  • Nitesh Agrawal Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India
  • Dattaraj P. Sawarkar Department of Neurosurgery and Gamma Knife Center, All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India

Keywords:

DREZ, spasticity, cervical, lumbosacral

Abstract

Apart from its established role in treatment of neuropathic pain following brachial plexus avulsion injuries, microsurgical dorsal root entry zone (DREZ) lesioning have also been used for treatment of spasticity in both upper and lower limbs. Simultaneous DREZ-otomy of cervical and lumbosacral region to relieve spasticity of bilateral upper and lower limbs have not been reported in the literature. In this case report, we will discuss such a case that underwent simultaneous DREZ-otomy of cervical and lumbosacral region along with review of the literature

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Published

2026-05-12