Trigeminal Neuralgia Trigeminal Neuralgia Interventional Treatment Interventional Treatment in M.S. or Balo`s disease in M.S. or Balo`s disease Jalal Jalal Shokouhi-MD ISR, Tehran, Iran Jalal Jalal Shokouhi-MD ISR, Tehran, Iran M.H.Herischi-MD Orthopedic M.H.Herischi-MD Orthopedic surgeon,Baku,Republic Azarbayjan surgeon,Baku,Republic Azarbayjan A.A Norosi-MD Neurosurgeon A.A Norosi-MD Neurosurgeon Munich,Germany Munich,Germany A.Akbar Ameri-MD Shahid beheshti A.Akbar Ameri-MD Shahid beheshti university Tehran,Iran university Tehran,Iran [email protected]
Trigeminal Neuralgia Interventional Treatment in M.S. or Balo`s disease Jalal Jalal Shokouhi-MD ISR, Tehran, Iran M.H.Herischi-MD Orthopedic surgeon,Baku,Republic.
Dec 16, 2015
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Trigeminal Neuralgia Trigeminal Neuralgia Interventional Treatment in Interventional Treatment in
M.S. or Balo`s diseaseM.S. or Balo`s disease
Jalal Jalal Shokouhi-MD ISR, Tehran, IranJalal Jalal Shokouhi-MD ISR, Tehran, Iran
M.H.Herischi-MD Orthopedic surgeon,Baku,Republic AzarbayjanM.H.Herischi-MD Orthopedic surgeon,Baku,Republic Azarbayjan
A.A Norosi-MD Neurosurgeon Munich,GermanyA.A Norosi-MD Neurosurgeon Munich,Germany
A.Akbar Ameri-MD Shahid beheshti university Tehran,IranA.Akbar Ameri-MD Shahid beheshti university Tehran,Iran
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Nerve blockage, if there is no organic lesion in meckle cave, cavernous sinus and parasellar, also mandibular nerve branch
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38 cases of neuralgia 12 was known M.S9 felame3 male
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o CT guided
o Coaxial Needle of Sieble and Grone meyer or L.P
o Drugs: Lidocain 1%,Marcain0.5%, Bupivicain0.5%,Scandicain1% 3-6 cc Ethanol 65% to 90% 2-3cc Corticosteroid is controversial
Mat. and meth. :
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M.S and Pain:
53 to 82%
Acute: Neuropathic in acute phase
Chronic: 90% Neuropathic or musculoskeletal
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Site of lesions:
Trigeminal entry zone in brain stem: Tri. G. Neuralgia
Brain stem, spinal cord: muscle spasm, pain full cramp
Corticospinal, Corticobulbar, Spasticity, LBP, extremity
pain
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Results:All patients: pain free immediately after
injection• Repeat injection: No(Except in dentistry cases)
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Take home message:
M.S. has diplopia, parestesia, paralysis, vertigo,... Also MS has pain.
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