Speaking about neurology, we should mention that the therapy should take into account the origin of the disease, the mechanism of development and clinical features of neuralgia and neuritis.

In cases of bacterial origin antibiotics and sulfonamides are shown; virus one – interferon that are specific serum and gamma globulin; when toxic one – detoxification drugs (reopolyglukine, unitioya, sodium thiosulfate), specific antidotes, when there is ischemic orifin – vasoactive agents (stugeron, eufillin) must be used, etc.
To stop the pain analgesics, electrophoresis of novocaine, Bernard currents, acupuncture are used. Highly effective treatment for trigeminal neuralgia are anticonvulsants, particularly, carbamazepine (Tegretol, finlepsin), which provide per 0.2 g 3-4 times a day.

In the acute period of traumatic neuritis it is recommended that the immobility of the limb is conducted. From the first days of the disease vitamin B complex, C, E are widely used. Regression of motor deposition can be accelerated by using anticholinesterase drugs (neostigmine methylsulfate or nivalin) or biogenic stimulators.
In the case of infectious-allergic neuritis good results are observed when corticosteroids (prednisone) are added to treatment. Drug treatment must be necessarily combined with physical therapy, as well as massage and medical gymnastics.

Traumatic neuritis, trigeminal neuralgia and neuritis of the facial nerve are treated surgically. If conservative therapy for 3-4 months does not give signs of functions recovery, produce audit of the injury that is dissection of adhesions, suturing the nerve substitution defect with homo transplant etc. When trigeminal neuralgia occurs, we resort to alcohol abuse of branches of the nerve root, so as to cutting the nerve or tracts etc. In the neuritis of the facial nerve the autopsy of Fallopian canal is made, so as fistulization from the 12th and 11th pair of nerves sometimes.

The results of operations of suture depends on the time: if it is produced in the first 3-5 months after injury, recovery or significant improvement is reached almost in 90% of patients, if after 1-2 years – it makes only 30-40%. When there is ineffectiveness of surgical intervention on the peripheral nerve, we can perform orthopedic surgery (transplants or suturing of tendons, etc.).

Forecast is determined by the shape, nature and severity of neuralgia and neuritis, as well as the amount and timeliness of medical interventions undertaken. In the vast majority of patients, complete or almost complete restoration of function of the affected nerve is indicated. Cases of recurrent flow, partial or poor restoration of function are observed in trigeminal neuralgia, neuritis of the facial nerve, traumatic and beriberi-dystrophic neuritis of the median, ulnar, peroneal, and some other nerves. This can lead to long-term disability, and to disability in some cases.
Prevention of neuralgia and neuritis is based on early diagnosis and effective treatment of common infections, intoxication, beriberi, protection from hypothermia and injuries, etc.

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