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Trigeminal Neuralgia Interventional Treatment in M.S. or Balo`s disease

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 Azarbayjan A.A Norosi -MD Neurosurgeon Munich,Germany

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Trigeminal Neuralgia Interventional Treatment in M.S. or Balo`s disease

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  1. Trigeminal Neuralgia Interventional Treatment in M.S. or Balo`s disease JalalJalalShokouhi-MD ISR, Tehran, Iran M.H.Herischi-MD Orthopedic surgeon,Baku,RepublicAzarbayjan A.A Norosi-MD Neurosurgeon Munich,Germany A.AkbarAmeri-MD Shahidbeheshti university Tehran,Iran jalaljalalshokouhi@hotmail.com

  2. Nerve blockage, if there is no organic lesion in meckle cave, cavernous sinus and parasellar, also mandibular nerve branch

  3. 38 cases of neuralgia 12 was known M.S 9 felame 3 male

  4. Mat. and meth. : • CT guided • Coaxial Needle of Sieble and Grone meyer or L.P • Drugs: • Lidocain 1%,Marcain0.5%, Bupivicain0.5%,Scandicain1% 3-6 cc • Ethanol 65% to 90% 2-3cc • Corticosteroid is controversial

  5. M.S and Pain: 53 to 82% Acute: Neuropathic in acute phase Chronic: 90% Neuropathic or musculoskeletal

  6. 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

  7. Results: All patients: pain free immediately after injection • Repeat injection: No (Except in dentistry cases)

  8. Take home message: M.S. has diplopia, parestesia, paralysis, vertigo,... Also MS has pain.

  9. Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention Thank you for your attention

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