Category: Trigeminal Neuralgia Videos

Trigeminal neuralgia symptoms

कान और गले में दर्द

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कान और गले में दर्द होना, विशेष रूप से निगलने पर दर्द होना Trigeminal Neuralgia का संकेत (indicator) हो सकता है.

अधिक जानकारी के लिए, इन  विडियो जरूर  देखें. Glossopharyngeal Neuralgia.

Trigeminal neuralgia के लक्षण क्या है?

गाल में दर्द, जबड़ों में दर्द, दांतों में दर्द, या निगलते समय दर्द ….ये सब Trigeminal Neuralgia के लक्षण हो सकते हैं.

चेहरे की नसो में दर्द को ट्राइजेमिनल न्यूराल्जिया कहते हैं।

Trigeminal neuralgia क्या है?

चेहरे की नसो में दर्द का नाम ट्राइजेमिनल न्यूराल्जिया है. चेहरे के दर्द के कई कारण होते हैं. सबसे आम कारण ट्राइजेमिनल तंत्रिका को संकुचित करने वाली रक्त वाहिका है. (Nerve और blood vessel के बीच  compression). Trigeminal neuralgia का दर्द कैसा रहता है? trigeminal neuralgia का दर्द बहुत ही भयानक और असहनीय होता है. कभी बिजली जैसा दर्द, तो कभी चुरी चुभो रहा हो ..इस जैसा…कई प्रकार है.

चेहरे की नसो में दर्द क्यों होता है?

चेहरे का दर्द ट्राइजेमिनल तंत्रिका के संपीड़न के कारण होता है.

चेहरे की नसो में दर्द का इलाज क्या है?

चेहरे की नसो में दर्द का इलाज, पहले दवाई से की जाति है. अगर दर्द कम नहीं हुआ तो एमवीडी सर्जरी (MVD surgery) कर सकते हैं.

कान और गले में दर्द अगर trigeminal neuralgia के वजह से है तो उसका इलाज हो सकता है. पहले दवाइयों से, फिर सर्जरी से. इस सर्जरी का नाम है मिक्रोवास्कुलर डीकम्प्रेशन सर्जरी. इसके बारे में और जानकारी के लिए हमारे  Youtube चैनल देखें.

डॉ जयदेव पंचवाघ ब्रेन और स्पाइन सर्जन हैं जो इस MVD operation करने में काफी अनुभवी हैं. 

 

Microvascular Decompression Surgery

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Microvascular Decompression Surgery or MVD surgery is a brain operation, commonly done to relieve nerve compression of the fifth (Trigeminal nerve) and seventh (Facial Nerve) cranial nerves. Occasionally the ninth (Glossopharyngeal nerve nerve is also decompressed by itself or in conjunction with the Trigeminal nerve. Cranial Nerves are nerves that arise in the brain. They are twelve in number.

All about MicroVascular Decompression:

 

What is MVD surgery?

There are twelve nerves that arise from the brain, on each side. Of these, the fifth (Trigeminal nerve), seventh-eighth complex(Facial-Vestibulocochlear) and ninth(glossopharyngeal) nerves are prone to compression leading to hyperactivity disorders that need treatment.

What is the fifth nerve called?

The fifth cranial nerve is the Trigeminal Nerve. The Trigeminal nerve supplies the sensation to the face. It has three divisions : V1,V2 and V3. these supply specific areas of the face on each side.

What is the seventh-eighth nerve called?

The seventh-eighth cranial nerve complex is the Facial nerve-Vestibulocochlear nerve complex. The facial nerve supplies the facial muscles. The eighth nerve is the nerve of hearing and balance. This is the reason why in Hemifacial spasm, occasionally, either tinnitus or a clicking sound may be heard.

What is the ninth nerve called?

The ninth nerve is the Glossopharyngeal Nerve. It supplies sensation to base of tongue, tonsillar pillars and throat. There are other functions too, but this is the function most affected in glossopharyngeal neuralgia and causes pain while swallowing.

What is Microvascular Decompression surgery?

It is an operation done at the level of the brainstem, where the involved nerve exits/enters the brainstem. The blood vessel compressing the nerve is moved away from the nerve(decompressed) using a microscope/ endoscope or both. This is performed to treat Trigeminal neuralgia, Hemifacial spasm or glossopharyngeal neuralgia.

Is it possible to see a video of MVD surgery?

Certainly. Dr. Jaydev Panchwagh, chief Neurosurgeon and Director at the MVD Centre shows us how it is done. here:

If you are interested in knowing more about a video discussing diagnosis, symptoms, MRI and treatment, please click here.

Can I get a comprehensive idea about Trigeminal neuralgia?

Yes, you can read all about it on this page.

चेहरे की नसो में दर्द

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चेहरे की नसो में दर्द क्या कहलाता है?

चेहरे की नसो में दर्द का नाम ट्राइजेमिनल न्यूराल्जिया है।

Trigeminal neuralgia का दर्द कैसा रहता है? trigeminal neuralgia का दर्द बहुत ही भयानक और असहनीय होता है. कभी बिजली जैसा दर्द, तो कभी चुरी चुभो रहा हो ..इस जैसा…कई प्रकार है.

इसके कई कारण होते हैं । सबसे आम कारण ट्राइजेमिनल तंत्रिका को संकुचित करने वाली रक्त वाहिका है ।

शुरू में इस बीमारी को ठीक करने के लिए दवाइयां दी जाती है..जैसे की Tegretol, Mazetol या Carbamazepine.

दर्द का वजह नस का कम्प्रेशन होता है. यह MVD surgery से ठीक हो सकता है.

ट्राइजेमिनल न्यूराल्जिया  क्यों होता है?

चेहरे का दर्द ट्राइजेमिनल तंत्रिका के संपीड़न के कारण होता है । चेहरे की नस को Trigeminal Nerve नाम  से जाना जाता है. इस तंत्रिका के तीन भाग होते हैं, जो चेहरे के ऊपरी, मध्य और निचले हिस्से को सप्लाई करते हैं.

चेहरे में दर्द , एक दुर्लभ nerve का विकार है। यह चेहरे के गंभीर दर्द का कारण बनता है.

Trigeminal nerve distribution
(pic courtesy: Wikicommons)

 

गाल में दर्द या जबड़ा में दर्द ट्राइजेमिनल न्यूराल्जिया के कारण भी हो सकता है। Neuralgia याने नस में दर्द होना. इसी लिए इस नस के दर्द के बीमारी को {चेहरे की नसो में दर्द) trigeminal neuralgia बोलते हैं.

चेहरे  की नसो में दर्द (trigeminal neuralgia) का इलाज क्या है?

चेहरे की नसो में दर्द का इलाज, पहले दवाई से की जाति है। अगर दर्द कम नहीं हुआ तो एमवीडी (MVD) सर्जरी कर सकते हैं। यह ऑपरेशन न्यूरोसर्जन करते हैं.

ट्राइजेमिनल न्यूराल्जिया का दर्द कैसा होता है?

रोगी को तेज बिजली की तरह का झटका लगता है जैसे आंख, गाल, मसूड़े या जबड़े में बिजली का दर्द ।

क्या यह कान के दर्द के रूप में भी उपस्थित हो सकता है?

हां। TN भी कान में दर्द पैदा कर सकता है; लेकिन यह ग्लोसोफेरींजल न्यूराल्जिया से भी जुड़ा हो सकता है।
यदि आप ट्राइजेमिनल न्यूराल्जिया के बारे में अधिक जानना चाहते हैं, तो कृपया इस वीडियो पर क्लिक करें ।
 
Dr. जयदेव पंचवाघ न्यूरोसर्जन हैं । वह पुणे में एमवीडी सेंटर के निदेशक (डाइरेक्टर) हैं ।

उनका अनुभव बहुत विशाल है । उन्होंने अब तक 1850 से अधिक MVD सर्जरी की हैं.

अगर आप इसका इलाज के बारे जानना चाहते हैं, तो यह विडियो आपको उपयुक्त होगा…

 

 

Symptoms of Trigeminal neuralgia

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Symptoms of trigeminal Neuralgia:

Symptoms of trigeminal Neuralgia are generally electric shock-like pain in the face. This could be in the forehead, eye, cheek, nose, upper or lower jaw areas.

What are the triggers for face pain or trigeminal neuralgia?

Typically the triggers that set off an episode of Facial pain are touching, brushing, shaving, chewing and talking.

 

 

How does an attack of Trigeminal Neuralgia look like?

This pain is so severe and horrible that it is called the suicide disease! Watch this video to see how the TN attack looks.

Can Trigeminal neuralgia pain be treated ?

The good news is, Yes!!  Though medical treatment is the mainstay, especially in the initial phases of the disease, medicines soon become ineffective. Occasionally, the patient has a pain holiday and comes to believe that his/her pain has been cured. But it comes back with a vengeance, and this is the time that most patients usually seek permanent treatment.

Do I need to visit a neurologist or neurosurgeon to treat Trigeminal Neuralgia?

Initially, after the diagnosis of Trigeminal neuralgia is made, the patient is referred to a neurologist, to start medical therapy. The neurologist adjusts the doses as necessary, and helps the patient understand how to time the doses to get best pain relief. The neurosurgeon is involved when the patient no longer finds medication useful, or when the side-effects of medicines are unbearable. The neurosurgeon then offers Microvascular Decompression surgery as a possible permanent treatment.

Is Dr Jaydev Panchwagh an MVD Specialist?

Yes. Dr Jaydev Panchwagh is a neurosurgeon practising in Pune, Maharashtra. He is passionate about treating Trigeminal neuralgia and Glossopharyngeal Neuralgia. With the aim of focusing on the treatment of this deadly pain, he has been instrumental in putting together a dedicated team. He is the Founder-Director of the Centre Of Excellence for MVD surgery. It is perhaps the only one of its kind in India.

Trigeminal Neuralgia-living and leaving. My story

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Trigeminal Neuralgia-living and leaving. My story.

In this story, the patient describes how he had severe pain, how he was resigned to accepting his fate, living with the pain, and how MVD surgery was a life-changing experience for him.

Why a Trigeminal Neuralgia specialist?

Trigeminal Neuralgia treatment in India is well established, especially for medical management. There are a few neurosurgeons who perform MVD surgery for treatment of trigeminal neuralgia; Dr Jaydev Panchwagh is a trigeminal neuralgia specialist doctor who is Director of the centre of excellence for MVD surgery. He has an experience of more than 1400 MVD surgeries in the last 20 years.

Trigeminal neuralgia attack and its treatment

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Trigeminal Neuralgia attack and its treatment

Trigeminal Neuralgia attack can be very severe and frequent as the disease progresses, and its treatment at that point in time may be very frustrating. It is when such attacks become frequent that the patient generally tend to take decisions about getting MVD surgery done. In this video, a patient shares her experience during one such attack and how she suffered through it. She also describes how her life changed for the better after she became pain-free after MVD surgery. Dr Jaydev Panchwagh, an eminent neurosurgeon and an internationally acclaimed one performed this Microvascular Decompression (MVD) surgery on her. Having performed more than 1350 MVD surgeries, at his MVD centre in Pune, India, he has a considerable experience in treating Trigeminal Neuralgia. The MVD centre also caters to international patients and has a support group.

Is Trigeminal Neuralgia serious?

The honest answer is yes and no. By itself it does not harm life, (except in cases of C-P angle Tumor) but the disease itself can be so debilitating, and its medical treatment so very challenging, that the patient often considers ending their life because of the pain and the fear of an upcoming TN attack. Click here to read more about the disease.

Trigeminal Neuralgia (Facial Pain) diagnosis

Electric shock-like pain in any or all of the three divisions of the trigeminal nerve brought about by trigger factors usually establishes the diagnosis of trigeminal neuralgia.

Trigeminal neuralgia causes

The pain of trigeminal neuralgia is usually caused by one or more blood vessel compression on the trigeminal nerve or a C-P angle tumor (Cerebellopontine angle tumor). There can of course be other causes. Click here to know more.

 

Trigeminal Neuralgia attack

The pain in Trigeminal neuralgia manifests as attacks of facial pain generally brought about by trigger factors like talking, brushing teeth, eating etc. The patients experience electric-shock like pain during the trigeminal neuralgia attack. The pain may have different manifestations in different people. click here to know more about Trigeminal neuralgia symptoms.

Trigeminal neuralgia treatment

Though there are many options for treatment of Trigeminal neuralgia including medications, Radiofrequency lesioning (RFLG) etc, Microvascular decompression surgery is the only shot at achieving a possible permanent cure.

Treatment for Trigeminal Neuralgia by MVD surgery

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Treatment for Trigeminal Neuralgia by MVD Surgery is a well-established option. MVD stands for Micro Vascular Decompression. This means that a microscope (with or without an endoscope) is used to decompress the Trigeminal Nerve from one or more blood vessels compressing it. The Micro Vascular Decompression is most often done using one or pieces of Teflon sponge.

Trigeminal Neuralgia Treatment by MVD surgery- a patient’s story in Hindi

This is a video testimonial of a patient who came to our MVD Centre from the United Kingdom for treatment of his Trigeminal neuralgia. He talks about the trigger factors that started his facial pain. He also talks about how he is pain free after MVD surgery. Please click here for other video testimonials.

If you want to watch MVD surgery and how it is done, please click here. You can go to our Home page to get all information about Trigeminal neuralgia.

Initially he faced facial numbness, but that gradually went away with time.

Dr Jaydev Panchwagh is an internationally acclaimed neurosurgeon who operates at the MVD Centre in Pune. He and his team have an experience of more than twenty years in dealing with patients of Trigeminal Neuralgia. There is a good support system in place for international patients as well. The centre also has a support group for Trigeminal neuralgia patients.

Microvascular decompression for TN

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Microvascular decompression for TN is a potentially curative surgery and can be a permanent solution.

In this video on treatment of Trigeminal neuralgia with Microvascular decompression surgery, a patient shares his experience 2 years later. Many questions like What is the main cause of Trigeminal neuralgia? and what is the best treatment of trigeminal neuralgia are answered. Do watch the entire video for all the answers.

He says “The pain of Trigeminal neuralgia was severe enough to contemplate suicide. It started suddenly, without warning, electric shock-like. And when I got the TN attacks, people around me would wonder what happened to me so suddenly? Medical treatment made me have memory loss and loss of balance. And it also made me very drowsy and numb. The medicines stopped having effect on my pain later on. Only the side-effects persisted because I was increasing my doses to get pain relief from my facial pain attacks.”

MVD surgery for Trigeminal neuralgia

Microvascular Decompression for TN is one of the many procedures that can be done to cure the pain of Trigeminal Neuralgia. However, this is the only possibly permanent treatment. The highest rate of success is in experienced hands. In this surgery a teflon piece is inserted between the blood vessel(s) and nerve to prevent compression.

You can listen to other patient experiences here:

 

Dr Jaydev Panchwagh is the founder-Director of the MVD Centre in Pune. He is a well-established neurosurgeon of national and international repute. He is also founder-member of Synapse brain and Spine Foundation.

Dr Jaydev Panchwagh Neurosurgeon

Trigeminal neuralgia cured

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Trigeminal neuralgia cured by Microvascular Decompression surgery is not unique. However, very few patients actually acknowledge this in public and help spread awareness.

In this interview, Mrs. Deshmukh and her husband share their experiences before and after her Trigeminal neuralgia was treated by Microvascular decompression surgery, or MVD surgery.

Mr Deshmukh also describes how he and his family suffered because they saw her in pain but could not share her neuralgic pain. They would take her to the hospital at all hours of the day when the attacks got particularly bad to give her intravenous pain killers. They endured all this simply because they were unaware of MVD surgery for Trigeminal neuralgia pain relief. Trigeminal neuralgia cured by MVD surgery is a boon for not only the patient but also the family involved.

While googling for trigeminal neuralgia treatment, her son chanced upon a YouTube video that Dr. Jaydev Panchwagh, a neurosurgeon in Pune had uploaded for public education. She then procured his phone number and contacted him. The very first meeting with him and his team gave her enough confidence to opt for surgery. She also spoke to a few other people who were operated upon by Dr. Jaydev Panchwagh,  who reassured her that he was the best neurosurgeon for MVD surgery done for treatment of Trigeminal neuralgia.

The cause for Trigeminal neuralgia is often a blood vessel compressing on the Trigeminal nerve. You can read more by clicking here.

Severe Trigeminal Neuralgia caused by Epidermoid tumour

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CP angle Epidermoid Tumor
MRI of C-P Angle Epidermoid Tumor

Severe Trigeminal Neuralgia can occasionally be caused by tumors in the cerebello-pontine region, notably, Epidermoid tumors, Schwannomas and rarely others like meningioma etc.

Severe TN caused by C-P angle Epidermoid tumor

This is the story of a patient named Mr. Gopal Shinde, a young man from rural Maharashtra who suffered from very severe pain in the cheek and forehead. His TN pain was so severe that he could neither eat nor talk, nor open his mouth.

An MRI advised by us revealed a cerebello-pontine (C-P) angle tumor which was likely to be an epidermoid. Unfortunately, a nation-wide lockdown was imposed a few days after his diagnosis, and he had to return to his village.

Eventually, in spite of the Covid-19 situation, he came back to us for excision of the epidermoid, because the pain was unbearable. This was successfully removed in October 2020. His severe Trigeminal neuralgia pain disappeared immediately after surgery and he could begin eating, talking and smiling normally.

 

Dr. Jaydev Panchwagh operated on him and he was cured of his TN pain, with the excision of the Epidermoid tumor and with the freeing of the Trigeminal nerve.