Tag: MVD Centre

चेहरे की नसो में दर्द

Posted on | by Dr. Jaydev Panchwagh | 14 Comments on चेहरे की नसो में दर्द

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…

 

 

Is MVD surgery risky?

Posted on | by Dr. Jaydev Panchwagh | 2 Comments on Is MVD surgery risky?

Is MVD surgery risky?

This is a transcript of an interview with Dr Jaydev Panchwagh, neurosurgeon. This was aired on TV. He is the Director of the MVD Centre in Pune.

Trigeminal Neuralgia: General Information

Interviewer: Doctor, I read up some articles on Trigeminal Neuralgia before this interview. It appears that the patients are affected by a very severe kind of pain in the face.

Dr Jaydev Panchawagh: Yes!! The pain is so severe and comes so suddenly that some patients even contemplate suicide!! The pain is variously described as sharp, stabbing, burning, shock-like etc.

Trigeminal Neuralgia: Treatment choices

Interviewer: I also read that there are many kinds of treatments available, but none really effective. Is that correct?

Dr Jaydev Panchawagh: Treatment of Trigeminal neuralgia is usually started with medicines (tegretol, Carbamazepine). Initially they are effective. But over a period of time, the pain takes over. We need to increase medicine doses. The pain gets controlled. Then over the next few months, medicines lose their effectiveness. The doses need to be further increased or medicines changed. This goes on till the pain becomes unbearable or the medicine’s side effects are not tolerated. The patient then has to consider other options. But in our MVD Centre, we often give the option of surgery before very high doses of medicines are reached. Because, the side effects are at this time unacceptable.

There are other treatment options like RFLG,  nerve Blocks ,  balloon compression , or Gamma knife radiation but my particular preference has generally always been MVD surgery.

Trigeminal Neuralgia: MVD surgery

Interviewer: So, is MVD surgery a brain surgery?

Dr Jaydev Panchawagh: Yes, MVD or MicroVascular Decompression surgery is a brain surgery. The operation is performed where the Trigeminal nerve exits from the brainstem. It is in a very deep part of the brain.

Interviewer: Is MVD surgery risky?

Dr Jaydev Panchawagh: It is fairly safe in the hands of an experienced surgeon. The more MVD surgeries one performs, the more comfortable one becomes with the anatomy there. We become more aware of what to expect, what to do, what not to do. So the chances of success in the surgery also is much higher than in the hands of an inexperienced surgeon. This is one of the reasons why MVD surgery is best done at Centres which have a high volume of these surgeries. 

Why experienced neurosurgeon matters?

The patient must therefore find out how many such surgeries the surgeon has performed. The potential risks could be infection, bleeding, hearing loss, facial numbness, and/or facial weakness (generally temporary),  CSF leak, difficulty to talk/ swallow, stroke/ paralysis/risk to life (extremely rare).

Interviewer: Doctor, how many MVD surgeries have you performed so far?

Dr Jaydev Panchawagh: I have performed more than 1600 surgeries so far (from 2002 to 2022). You can access the testimonials of some of the patients here.

Interviewer: What is the aim of MVD surgery?

Dr Jaydev Panchawagh: The final goal is to prevent pain that arises because of compression of the Trigeminal Nerve either by a blood vessel or by brain tumors.

Interviewer: Is MVD performed for treatment of Trigeminal neuralgia alone?

Dr Jaydev Panchawagh: No, MVD can be performed for treatment of Hemifacial spasm ( affecting the Facial nerve) or Glossopharyngeal Neuralgia(affecting the glossopharyngeal nerve). You can know more about this in my video explaining Hemifacial spasm symptoms and causes.

“

 

 

 

You may watch this video to know more about Glossopharyngeal neuralgia .

 

Treatment for Trigeminal Neuralgia by MVD surgery

Posted on | by Dr. Jaydev Panchwagh | 4 Comments on Treatment for Trigeminal Neuralgia by MVD surgery

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.

Pain relief after MVD operation

Posted on | by Dr. Jaydev Panchwagh | 4 Comments on Pain relief after MVD operation

Pain relief after MVD operation: How long does it last?

It is generally permanent or at least very long-lasting.

Here is the experience through a video testimonial of two patients who underwent Microvascular Decompression surgery or MVD operation in 2017. This video was recorded 3 years after their surgery.

What are the aims of MVD operation?

Pain relief is the primary aim after MVD operation. Reducing or complete cessation of medication is a secondary benefit.

What kind of pain relief may be expected after MVD operation?

The pain of Trigeminal neuralgia is generally electric-shock like and is episodic, brought on by trigger factors. The relief after a successful MVD operation is immediate, and complete.

This means that the patient will  now not experience any trigger factors.  He/she is able to eat, talk, brush teeth, wipe face, shave, apply make-up etc. without experiencing facial pain. Sometimes after MVD surgery, there may be a temporary facial numbness as the trigeminal nerve is healing itself from the pre-operative short-circuiting.

What are some of the FAQs regarding Trigeminal neuralgia or MVD operation?

There are plenty of questions and you will find the answers here.

Who performs the MVD operation at the MVD Centre, Pune?

Dr Jaydev Panchwagh is the neurosurgeon (brain surgeon) who performs all MVD operations in the MVD Centre in Pune.

A single-surgeon experience of more than 1380 surgeries is phenomenal, considering that this disease is not very common.

Where can I read more about other patient experiences at the MVD Centre in Pune?

There is a support group, which you can get in touch with if you contact us. We can link you up with other patients or share their testimonials.

Where is Pune?

Pune is a big, thriving city about 100 kilometers from Mumbai. It is well-connected by airports and trains. It has multi cuisine restaurants, and is very cosmopolitan.

There are plenty of international students in Pune, which is also considered an educational hub in India. International medical tourism is also popular in this city.