Neurosurgical Management of Increased Tone in Children with Medical Complexity

Learning Objectives

  • Review common surgical procedures to reduce tone in children.
  • Describe the surgical procedures and technical considerations.
  • Highlight evidence and controversies as well as gaps in knowledge requiring further research.

George M Ibrahim, MD, PhD, FRCSC, FAANS, FACS

Dr. George Ibrahim is a pediatric neurosurgeon at the Hospital for Sick Children and Assistant Professor at the Institute of Biomaterials and Biomedical Engineering, the Institute of Medical Sciences and the Department of Surgery at the University of Toronto. He is also a Scientist in the Neurosciences and Mental Health program as the SickKids Research Institute. His clinical and research interests include the surgical treatment of medically intractable epilepsy, spasticity and functional disorders in children. He plays an active role in the comprehensive epilepsy, dorsal rhizotomy and deep brain stimulation programs at SickKids. His research lab is dedicated to the study of neural networks in children with epilepsy and functional disorders through a combination of connectomic, computational neuroscience and machine learning approaches. His work has yielded insights into personalized treatments for children targeting specific network impairments and the development of novel devices and treatment strategies. His interests also include the intersection of global health, neuroethics and neurosurgery, including the provision of neurosurgical care to the world’s most vulnerable children.

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