MVD surgery Archives | Trigeminal Neuralgia Treatment

Microvascular Decompression Surgery

Posted on April 20, 2022 | by Dr. Jaydev Panchwagh | Leave a Comment

Microvascular Decompression Surgery or MVD surgery is a brain operation, commonly done to relieve nerve compression of the fifth and seventh cranial nerves. Occasionally the ninth nerve is also decompressed by itself or in conjunction with the Trigeminal nerve.

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 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 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

Posted on March 19, 2022 | by Dr. Jaydev Panchwagh | 26 Comments

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…

What is Trigeminal neuralgia?

Posted on February 23, 2022 | by Dr. Jaydev Panchwagh | 1 Comment

What is Trigeminal Neuralgia?

Trigeminal neuralgia is a chronic facial pain caused by a hyperactivity disorder of the Trigeminal nerve. In simple words, it is a symptom of Trigeminal nerve compression. This compression could be caused by a blood vessel or by a tumor, among many other causes. TN pain is severe and is generally treated with medicines, initially.

What is the trigeminal nerve?

Trigeminal nerve is the fifth nerve which is given off from the brain. It is a cranial nerve. This is a sensory as well as motor nerve. It means that the nerve supplies sensation to the face and the motor component supplies muscles of chewing.

What is the commonest presentation of trigeminal neuralgia?

Commonly TN pain begins after some form of dental treatment, either an extraction or root canal work. However, the dental work actually is only a trigger, not the cause. Other triggers for the trigeminal neuralgia pain are brushing, eating, talking, shaving, touching etc.

Can Trigeminal neuralgia be associated with ear pain?

Yes. TN itself can cause ear pain; but it may also be associated with Glossopharyngeal neuralgia which can also be the cause of ear pain.

How is the pain of Trigeminal neuralgia?

The patient has severe electric shock like or lightning like pain in the eye, cheek, gums or jaws. Mostly, this disorder is diagnosed late. Thus the patient suffers for many years before they are told their diagnosis. It is frequently mistaken for migraine, dental pain or ear pain. MRI is performed to support the clinical diagnosis.

Can MVD be done after RFLG?

Yes, but a primary MVD always gives better success. Radio Frequency Lesioning or ablation of the trigeminal nerve is a destructive procedure. MVD surgery is a nerve-preserving procedure.

Who performs the MVD surgery?

MicroVascular Decompression (MVD) surgery is a brain surgery and is performed by a neurosurgeon. An experienced neurosurgeon gives the best results, better success rates and lower chances of risks.

Can we get any patient testimonials or their experiences?

Sure. Please click here to read and watch videos of patient experiences. All these patients have been operated by our team, at the MVD Centre. You can click here to read more Frequently Asked Questions on Trigeminal neuralgia and MVD surgery. You can visit the home page of this website on trigeminal neuralgia treatment by clicking here.

Who runs the MVD Centre?

The MVD centre is in Pune. The Director is Dr Jaydev Panchwagh, who has an experience of more than 30 years in the field of neurosurgery. His passion in the specialty is MVD surgery.

What does Trigeminal neuralgia pain feel like?

Posted on August 24, 2021 | by Dr. Jaydev Panchwagh | 1 Comment

What does Trigeminal Neuralgia pain feel like? It is a thought that crosses many a family member’s mind. Unlike a brain tumor or a fracture or a pimple or hernia, pain cannot be seen by others. Only the sufferer who experiences it knows. Others can only wonder and empathize.

Facial pain is the only symptom of this terrible disease of Trigeminal Neuralgia. The pain comes in waves, lasts for a few seconds to a few minutes, and subsides. The pain of Trigeminal neuralgia feels like electric shock to some patients. To others it feels like a knife is being stabbed repeatedly. For a few others the Trigeminal neuralgia pain feels like chili powder being rubbed on the face.

How long does the pain of Trigeminal neuralgia last?

The pain of TN lasts from a few seconds to a few minutes. Very rarely it may last for hours or become continuous. In the initial stages of the disease, the facial pain attacks are less frequent and may be brought on by some trigger factors like talking, chewing and brushing. Later on these trigger factors for Trigeminal neuralgia may be less evident and the pain becomes more persistent. what does Trigeminal neuralgia pain feel like in sleep? It generally allows the sufferer to sleep initially, but makes it impossible to live with. The Trigeminal neuralgia never really goes away, but lingers on and threatens to become a full-blown attack any time, unexpectedly.

Can stress cause Trigeminal Neuralgia?

The cause for Trigeminal neuralgia pain is usually a compression of the Trigeminal nerve by either a blood vessel or a tumor. On its own, stress does not cause Trigeminal neuralgia. However, Facial pain attacks may be brought on by stressful conditions.

How to get rid of trigeminal neuralgia pain?

Initially the treatment of the pain of trigeminal neuralgia is by medication like carbamazepine. Then other semi-invasive treatment may be tried, but are generally only temporary in nature.

What is the permanent treatment of trigeminal neuralgia?

MicroVascular Decompression surgery or MVD surgery is the only potential permanent treatment of trigeminal neuralgia or facial pain.

Where is treatment of trigeminal neuralgia done in India?

Treatment of trigeminal neuralgia is done by neurologists to prescribe medicines. But the cure for trigeminal neuralgia is MVD surgery, and is done by a neurosurgeon.

How to choose a neurosurgeon for MVD surgery?

A neurosurgeon who is a Trigeminal Neuralgia specialist is essential because these are not frequently performed surgeries and need a neurosurgeon who has long experience in MVD surgeries. Dr Jaydev Panchwagh has performed more than 1350 MVD surgeries and has a tremendous experience in treating trigeminal neuralgia. Many patients with failed MVD surgeries come to his MVD Centre of excellence in Pune for revision surgeries.

Treatment for Trigeminal Neuralgia by MVD surgery

Posted on August 5, 2021 | by Dr. Jaydev Panchwagh | 5 Comments

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 April 9, 2021 | by Dr. Jaydev Panchwagh | 6 Comments

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.

Trigeminal neuralgia cured

Posted on February 17, 2021 | by Dr. Jaydev Panchwagh | 8 Comments

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.

Trigeminal neuralgia medication-how to take them?

Posted on September 19, 2020 | by Dr. Jaydev Panchwagh | 50 Comments

Trigeminal neuralgia medication, at least the majority of them, are anti-convulsants.

“How to take them-Trigeminal neuralgia medication?”

Can I take TN medication when I feel the pain coming on?

Can I add more drugs during a Trigeminal neuralgia attack?

Do I have to continue taking the Trigeminal neuralgia medicines even if I have no or minimal pain?

These are all questions that frequently come to the patients’ minds.

What is essential to understand is that TN medicines are not straight-forward pain-killers. They are primarily anti-convulsants or brain numbing medications. Once the first pill is consumed, it takes a few hours to reach the blood. The liver simultaneously metabolizes the drug, while some of it also reaches the brain to act upon. So in effect, the blood level reduces. Over a period of the next few hours, the blood level will become zero. Before this happens, we need to consume another pill to increase and maintain the blood level. If this does not happen, there is no effect on the pain as well.

In short, regular medication is essential to maintain a particular blood level of the drug, so that it calms the brain/ nerve. This calming effect means that they do not respond to pain signals, and therefore have a neuralgic-pain-reducing effect.

Another key point to be noted is that the dosages need to be very gradually increased (and decreased also).

What happens if I take too many TN pills?

Well, you will certainly start manifesting all the side-effects of these anti-convulsants, like drowsiness, dizziness, imbalance, mental clouding, memory loss, depression etc. This is why, their dosages have to be adjusted by your doctor, who will determine what is right for you. One typically starts with the lowest dosage twice or thrice a day. This may be increased to maximum doses four times a day.

What happens if I miss a couple of doses of TN medication?

The blood level reduces, and you may experience break-through pain.

Allergic reactions to Trigeminal neuralgia medication

When starting off drugs to control TN pain for the first time, one has to be aware of and be on the lookout for allergic reactions. Though rare, it is not unheard of. I have come across a few patients in my practice. Typically they are in the form of skin rashes. These may be the harbinger of a very serious and potentially fatal Stevens-Johnson syndrome. If one notices skin rashes on consuming TN medication, please inform your doctor immediately and stop taking it.

What are the commonly used medication for trigeminal neuralgia?

What other drugs than anticonvulsants are useful for TN pain?

Is TN permanent?

What are some of the FAQs about TN?

Is there a cure for Trigeminal neuralgia?

Who is Dr Jaydev Panchwagh?

Youtube videos explaining in detail about Trigeminal neuralgia

Can I hear some patient testimonials? MicroVascular Decompression surgery to cure Trigeminal neuralgia.

How do I contact Dr Jaydev Panchwagh?

Trigeminal Neuralgia Patient Testimonial | Laxminarayan Gogineni

Posted on August 30, 2020 | by Dr. Jaydev Panchwagh | 59 Comments

I suffered from Trigeminal Neuralgia and this is my patient testimonial:

I suffered from Trigeminal Neuralgia for five years before my Microvascular decompression surgery. Symptoms of TN for me was a severe shock like pain along the lower jaw.

Continue reading →

Is Trigeminal neuralgia hereditary?

Posted on August 13, 2020 | by Dr. Jaydev Panchwagh | 162 Comments

For those of you who are wondering whether Trigeminal neuralgia is hereditary, the short answer is ‘ not really’. Having said that, there are cases reported where TN runs in families.

Can Trigeminal neuralgia be Familial?

Familial TN is unusual by all means. It is likely to be less than 2 or 3% of all TN patients. It is possible that patients inherit their familial ‘make-up’ of blood vessel contours or laxity, or lengths…we don’t know. Generally the familial type of Trigeminal neuralgia is on the same side in all affected family members.

Can Trigeminal neuralgia be inherited? Can TN be genetically transmitted?

The chances are so slim, that it’s not worth losing good sleep over it.

Have I seen a case of familial Trigeminal neuralgia?

‘No. I have only read case reports. It is likely that this condition is so rare, that one need not be too worried about it.’ Dr Jaydev Panchwagh answers.

Can children be affected with Trigeminal neuralgia?

Though it is unusual, it is not impossible. Diagnosing TN in children may be a problem, because they may not be able to express their problem clearly.

Parents ought to be more observant and help in establishing patterns.

There are reports of Microvascular Decompression surgery being done even in young children to treat them of the Trigeminal neuralgia pain.

My father and I both have Trigeminal Neuralgia. Is this hereditary? Will my children also have it?

It is possible that there are certain anatomical variations in either the brain and skull, or in the blood vessels that have predisposed both of you to have it. We just have to wait and see if it gets passed on to the next generation.

The youngest patient Dr Jaydev Panchwagh, a renowned Indian neurosurgeon has operated on is a girl of 22 years, who had been having it for five years. The operation was performed at his centre for MVD in Pune, India. With an experience of more than a thousand trigeminal neuralgia surgeries, he is one of the best neurosurgeons for such delicate and specialized operations.

You may watch his Youtube channel for more on MVD surgery for Trigeminal neuralgia treatment.