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Trigeminal neuralgia is not always do due to multiple sclerosis . Multiple sclerosis is one of the cause for trigeminal neuralgy . Other potential causa admit nerve trauma , cyst or arteriovenous malformations . MRImay help to reveal the compression of the trigeminal mettle by vessel .
Multiple sclerosisis a disease of the brain and spinal cord or cardinal nervous system . In multiple induration the flow of information between the mind and organic structure gets imbalanced . In this condition , the immune system of the dead body attacks the protective cocktail dress that cover the nerve fiber . In this condition , the mettle may get permanently damaged1 , when the nerve it run to the development of “ induration ” or scar tissue paper . When nerve fibers are damage galvanising impulse conducting ability may partially or altogether be lose . The causes of the multiple induration are not known but some genetic and environmental cistron mold as a induction of this disease2 .
Is Trigeminal Neuralgia A Sign Of Multiple Sclerosis?
How multiple sclerosis have trigeminal neuralgia ? Nerves are protect through the out layer call the myelin cocktail dress . medulla cocktail dress is responsible for for proper protection and helps in the condition of brass impulses without any dissipation of nerve impulse in the external environment . Multiple sclerosis is an autoimmune disease with neurodegenerative feature . The immune system of the physical structure attacks and damages the myelin case . This results in piteous conduction of nervus impulse and other neuropathic symptoms . If the immune system attacks the trigeminal heart , the nerve gets demyelinated . On demyelination , the nerve catch extremely sensitive to compression by line of descent vas lead to trigeminal neuralgy . Only slight compression in patients with impress trigeminal mettle results in trigeminal neuralgia attack . However , in some patients without multiple induration , trigeminal neuralgia is due to the blood vessels press the nerve under the skull and such physical process is known as spunk compression4 .
Symptoms Of Multiple Sclerosis
Numbness and Weakness : As the face condition is severely hampered in multiple sclerosis , the patient may experience numbness and weakness in various portion specially in peripheral Hammond organ .
Electric - Shock Sensations : galvanizing shocksensations are experienced during neck social movement specially when bending the neck . These symptom are also referred to as laharmitte ’s sign2 .
Vision problem : affected role may also develop visual sense problem which include blurry imaginativeness , complete red ink of visual sensation and prolonged double vision . The patient may also feel pain in the optic during centre movement3 .
believe trouble : patient with multiple sclerosis have some thinking problems such as piteous focus , fuzzy storage and the capacity of mentation are irksome .
Bladder Problems : The patients with Multiple Sclerosis loss their control on the vesica . Thus , patients have trouble in vacate the bladder . This is an early sign of the MS .
Pain : Neuropathic painis a mutual symptom of the MS . pain in the ass occurs because of failing and loaded in the body . Nephrotic pain also occur in multiple sclerosis .
Dizziness and counterbalance : coordination and balance can minify the mobility of patient hurt from multiple induration .
Change in Emotional Health : Patients with MS also suffering from depression and tenseness . The stress leads to irritability and uttermost mood swing , a condition known as pseudobulbar affect3 .
Does It Show Up On MRI?
The doctor may apprise many types of examination for the diagnosing of trigeminal neuralgia and determining the causes of the patient role ’s condition .
A Neurological Examination : Dr. determines the site of trigeminal neuralgia by touching and examine the part of the face .
Reflex Test : A reflex test is performed for ratification of the unity of the spinal cord and for determination of spinal corduroy injury or any other neuromuscular disease .
Magnetic Resonance Imaging ( MRI):Magnetic resonance tomography is done for the conclusion of neoplasm that induce trigeminal neuralgy . In some cases , a dye is dispense in the line vessels to view the arteria , vein and to highlight profligate vessel . The technique used in highlighting vessels is known as charismatic resonance angiogram5 .
Conclusion
Multiple sclerosis causes demyelination of nerves . If the trigeminal boldness gets affected , the chances of trigeminal neuralgia tone-beginning are increase . Magnetic resonance angiography is the techniques to analyze the compressing of the trigeminal nerve .
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