Dr. Bernardo de Monaco is currently responsible for the spasticity clinic of the Hospital das Clínicas da Faculdade de Medicina da USP (Sao Paulo - Brazil), a clinic belonging to the USP Pain Neurology Group. He has performed treatments on patients with spasticity using all that which is most current and advanced. He performs different types of surgeries for the treatment of refractory spasticity, from ablative procedures, such as the Selective Dorsal Rhizotomy (SDR) to neuromodulation procedures, such as the implantat of baclofen pump (intrathecal and intraventricular) and deep brain stimulation (DBS).

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Espasticidade; Leão; Bernardo Monaco; Rizotomia; Rizotomia Dorsal Seletiva;
Assyrian Sculpture carved in stone representing the hunting, with a wounded lion. It is possible to observe that the spears resulted in an injury to the lion's spinal cord, with consequent paralysis and spasticity in the back paws. The sculpture is on display at the British Museum and has an estimated date of 668-627 BC. Spasticity has been known as one of the consequences of spinal cord injury since Ancient History and yet today its treatment still presents many challenges.