Talk to Neuro Physician on Trigeminal Neuralgia
Asking for Mother, Female, 60 years old, Europe
trigeminal neuralgia in facial nerves on both sides, last 30 years. takes tablets Neurontin 600mg and this helps a little like 5-10%. Butt to get pain free she get injections local blocks directly on the facial nerves with Marcain and xylocaine. sometime she is pain free for 1-2 months and other time 6-9 months. The longest effected she have is 1 year. It’s different result from time to time.. Now lately we have done this treatment regularly for 3 months every Thursday, without any good results. She is only pain free for 4-5 hour, then all pain comes back. Today doctors did intravenously treatment for one hour with ketamin, midazolam B. Braun. Nerves could calm down, and set local block on the facial. Effect only lasted for 4-5 hours.
We have taken this MRI of the head 2015, didn’t find any nerve that was damage/collected/clamp.
can she get this injections treatment and same medication in Pakistan? Do you have any new solutions for this problem?
Dr. Ahmed Wali - Neurologist
FCPS (Neurology), Fellowship Neurophysiology (AKU), Diplomat American Board of Clinical Neurophysiology (DABCN), | Quetta
300 Positive Reviews
The best treatment is surgery.
Its called Microvascular decompression.
Consult a good surgeon in Pakistan.
I would prefer Dr.Ather Enam in Aga khan university.Karachi.
Dr. Ahmed Wali - Neurologist
FCPS (Neurology), Fellowship Neurophysiology (AKU), Diplomat American Board of Clinical Neurophysiology (DABCN), | Quetta
300 Positive Reviews
once and for all
Prof. Dr. Mujeeb Ur Rehman Abid - Neurologist
MBBS, FCPS, MRCP, FRCP (London) | Lahore
4 Positive Reviews
Decompressive Surgery is a well known and well tested procedure. Many ways to do it. Please consult a Neurosurgeon.
Prof. Dr. Sajjad Naseer - Neurologist
MBBS, FCPS (Neurology), MRCP (Ireland ), MRCP (UK), FAAN, FRCP, American Board of Electro Diagnostic Medicine | Lahore
827 Positive Reviews
Asslamu alaikum Thanks for consulting There are other medicines recommended for the same problem with combinations Can you visit me
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First I just wants to thanks all DR how have given me feedback, may Allah make you life easier and all your duaa kabul.
In Pakistan I am from Punjab, to do this
Decompressive Surgery I want treatment nearby Lahore ore Islamabad. This will be the easiest, mom is old almost 66 year old.
Any recommendations where we can do this Decompressive surgery? Price?
I have done som google search, find 2 more treatment nr 1 Gamma knife radio surgery this is in Karachi to expensive for us.
Nr 2
Transseptal Puncture radio frequency, do you know we’re in Pakistan this treatment is available?
Now for 2 days my mom haven’t eaten, drinking and sleeping anything, the pain is so bad :-(
1 month ago