Office Address

Railway Station, 32, Sasoon Rd, near Pune, Central Excise Colony, Sangamvadi, Pune, Maharashtra 411001

Phone Number

+91 98220 46043

+91 98220 46043

Email Address

infodrdilipkiyawatneurosurgeon@gmail.com

drdilipkiyawatneurosurgeon@gmail.com

Dr. Dilip S. Kiyawat, Leading Spine & Neurosurgeon in the Field of MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA

MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA

Trigeminal neuralgia is a chronic pain condition with episodes of excruciating, sudden, and stabbing pain. Typically, pain occurs on one side of the face, often triggered by simple activities like touching, chewing, brushing teeth, talking, or even a breeze. It lasts for
seconds to minutes. Between the two episodes, individuals may be symptom-free. Pain,
though short-lived, is so excruciating and intolerable that he or she may think of committing suicide. Hence the condition is infamously also called a suicidal disease, Management includes medications, such as tab. Carbamazepine, Pregabalin, and antidepressants.

In severe cases, surgical intervention like Radiofrequency lesions or Microvascular decompression of the trigeminal nerve (MVD) is done with excellent results. In MVD surgery the trigeminal nerve is exposed near the brain stem where a loop of an artery is found indenting and pulsating on the nerve causing episodic neuralgia. Once the nerve is relieved the relief in Trigeminal Neuralgia is dramatic and the patient experiences a new life. Usually the patient is discharged in 3-4 days.

Causes

Blood Vessel Compression The most common cause is the compression of the trigeminal nerve by nearby blood vessels, particularly arteries.

Symptoms

Severe Facial Pain Intense, stabbing, or shock-like pain on one side of the face.

Treatment

Medical Management with tablet Carbamazepine & Pregabalin is the choice of treatment in early stages. In resistant cases surgical procedure aimed at relieving the compression of the trigeminal nerve by blood vessels or tumor is done.

Rehabilitation

Drugs like carbamazepine and oxcarbazepine are commonly used to control nerve-related pain.

MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA

Tumor Compression

In some cases, tumors or cysts near the trigeminal nerve can cause compression.

Episodic Attacks

Pain often occurs in sudden, brief episodes that can be triggered by even mild stimuli such as touch, wind, or temperature changes.

Multiple Sclerosis

Rarely, demyelination of the trigeminal nerve due to multiple sclerosis can lead to TN.

Nerve compression by an artry in trigeminal neuralgia

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