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.
Resources Mentioned in Session
- Selective dorsal rhizotomy in ambulant children with cerebral palsy: an observational cohort study
- Improving access to selective dorsal rhizotomy for children with cerebral palsy
- Intrathecal baclofen versus selective dorsal rhizotomy for children with cerebral palsy who are nonambulant: a systematic review
- The role of social media in selective dorsal rhizotomy for children: information sharing and social support
- Phenomenology and classification of dystonia: a consensus update
- Probing and regulating dysfunctional circuits using deep brain stimulation
- Deep brain stimulation for pediatric dystonia: a meta-analysis with individual participant data
- The Child & Youth CompreHensIve Longitudinal Database for Deep Brain Stimulation (CHILD-DBS)
Session Materials
Next Session
May 22, 2025
12:00 pm – 1:00 pm
Health and Developmental Surveillance in Children with Down Syndrome
Register