Multiple sclerosis surgery: Difference between revisions
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[[Surgery]] is not the [[first-line treatment]] option for patients with multiple sclerosis but can be helpful in managing some [[Symptom|symptoms]]: | [[Surgery]] is not the [[first-line treatment]] option for patients with multiple sclerosis but can be helpful in managing some [[Symptom|symptoms]]: | ||
===Trigeminal | ====Trigeminal neuralgia==== | ||
If we fail to treat trigeminal neuralgia with medication, surgery can be an option. In order to reduce pain transmission to brain we can apply more damage to the nerve and reduce this transmission.<ref>{{cite journal |author=Kondziolka D, Lunsford LD, Bissonette DJ |title=Long-term results after glycerol rhizotomy for multiple sclerosis-related trigeminal neuralgia |journal=The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques |volume=21 |issue=2 |pages=137-40 |year=1994 |pmid=8087740 |doi=}}</ref> | If we fail to treat trigeminal neuralgia with medication, surgery can be an option. In order to reduce pain transmission to brain we can apply more damage to the nerve and reduce this transmission.<ref>{{cite journal |author=Kondziolka D, Lunsford LD, Bissonette DJ |title=Long-term results after glycerol rhizotomy for multiple sclerosis-related trigeminal neuralgia |journal=The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques |volume=21 |issue=2 |pages=137-40 |year=1994 |pmid=8087740 |doi=}}</ref> | ||
===Tremor and Ataxia=== | ====Tremor and Ataxia==== | ||
Using [[surgery]] for treatment of [[tremor]] and [[ataxia]] include [[thalamotomy]] and implantation of a [[thalamic stimulator]]. Evidence shows that [[thalamotomy]] is more effective but because of more serious [[side effects]] brain stimulation is more preferable.<ref>{{cite journal |author=Bittar RG, Hyam J, Nandi D, Wang S, Liu X, Joint C, Bain PG, Gregory R, Stein J, Aziz TZ|title=Thalamotomy versus thalamic stimulation for multiple sclerosis tremor |journal=Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia |volume=12 |issue=6 |pages=638-42 |year=2005 |pmid=16098758|doi=10.1016/j.jocn.2004.09.008}}</ref> | |||
==References== | ==References== | ||
Revision as of 20:21, 3 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
Surgery is not the first-line treatment option for patients with multiple sclerosis but can be helpful in managing some symptoms:
Trigeminal neuralgia
If we fail to treat trigeminal neuralgia with medication, surgery can be an option. In order to reduce pain transmission to brain we can apply more damage to the nerve and reduce this transmission.[1]
Tremor and Ataxia
Using surgery for treatment of tremor and ataxia include thalamotomy and implantation of a thalamic stimulator. Evidence shows that thalamotomy is more effective but because of more serious side effects brain stimulation is more preferable.[2]
References
- ↑ Kondziolka D, Lunsford LD, Bissonette DJ (1994). "Long-term results after glycerol rhizotomy for multiple sclerosis-related trigeminal neuralgia". The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques. 21 (2): 137–40. PMID 8087740.
- ↑ Bittar RG, Hyam J, Nandi D, Wang S, Liu X, Joint C, Bain PG, Gregory R, Stein J, Aziz TZ (2005). "Thalamotomy versus thalamic stimulation for multiple sclerosis tremor". Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia. 12 (6): 638–42. doi:10.1016/j.jocn.2004.09.008. PMID 16098758.