Multiple sclerosis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Irfan Dotani
Overview
Surgery can be helpful in controlling trigeminal neuralgia, tremors, and ataxia.
Indications
Surgery is not the first-line treatment option for patients with multiple sclerosis, but can be helpful in managing some symptoms such as Trigeminal neuralgia, Tremor and Ataxia.
Surgery
Trigeminal neuralgia
If we fail to treat trigeminal neuralgia with medication, surgery can be an option. In order to reduce pain transmission to the 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 includes 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]
Contraindications
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.