Multiple sclerosis

Anesthesia
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By Anthony T Reder MD

General anesthesia has no effect on multiple sclerosis (Bamford et al 1978). Direct trauma to the spinal cord or brain, barbotage, or intracerebral electrodes may predispose to lesions (Poser 1986), but there are also reports of multiple sclerosis patients with direct brain trauma and surgery that did not cause any plaque formation (Riechert et al 1975). Recent experience suggests that brain biopsy and thalamic stimulation do not induce plaques.

In This Article

Introduction
Historical note and nomenclature
Clinical manifestations
Clinical vignette
Etiology
Pathogenesis and pathophysiology
Epidemiology
Prevention
Differential diagnosis
Diagnostic workup
Prognosis and complications
Management
Pregnancy
Anesthesia
References cited
Contributors