Microvascular Decompression Surgery

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.

Microvascular decompression for TN

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.