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

jalaljalalshokouhi@hotmail.com

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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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