Microvascular Decompression for Trigeminal Neuralgia

Trigeminal neuralgia is a rare neurological disorder that causes intense facial pain.Dr. Gurneet, a highly skilled neurosurgeon in Mumbai, specializes in treating trigeminal neuralgia.

Gurneet Sawhney Created on 15th Apr, 23

Trigeminal neuralgia is a rare neurological disorder that causes intense facial pain, often described as a stabbing or electric shock-like sensation. The trigeminal nerve, which is responsible for sensation in the face, is affected by this condition. Everyday activities can trigger pain, such as eating, drinking, talking, or touching the face.


Dr. Gurneet Singh Sawhney, a highly skilled neurosurgeon in Mumbai, specializes in treating trigeminal neuralgia. He has extensive experience performing surgical procedures to relieve the pain caused by this condition, including microvascular decompression for trigeminal neuralgia.


Dr. Gurneet Singh Sawhney is committed to providing his patients with the best possible care and helping them achieve a better quality of life.

Trigeminal Neuralgia: Symptoms, Causes, and Diagnosis

Trigeminal Neuralgia
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Trigeminal neuralgia is a rare neurological disorder characterized by intense facial pain. Some key points about the condition include:                                                                                                              


  • Sudden, severe facial pain
  • Stabbing, electric shock-like, or burning pain
  • Pain often on one side of the face
  • Pain triggered by everyday activities such as chewing, talking or touching the face


  • Compression of the trigeminal nerve
  • Compression caused by blood vessels, tumors, or other abnormalities
  • In some cases, the cause is unknown


  • Based on symptoms and physical examination
  • Performing imaging tests such as MRI or CT scans to rule out other causes of facial pain


Early diagnosis and treatment by a neurosurgeon like Dr. Gurneet Sawhney can help alleviate the pain and improve the quality of life for patients with trigeminal neuralgia.

Microvascular Decompression Surgery Overview

Microvascular Decompression Surgery
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Microvascular decompression (MVD) is a surgical procedure often used to treat trigeminal neuralgia.The procedure involves identifying the blood vessel compressing the trigeminal nerve and relieving the pressure by placing cushioning material between the blood vessel and the nerve.


During the microvascular decompression procedure, the patient is placed under general anesthesia, and a small incision is made behind the ear on the side of the affected nerve. The surgeon then carefully moves the blood vessels away from the trigeminal nerve and places a cushioning material between them. It helps to relieve the pressure on the nerve and reduce the pain.


MVD surgery for trigeminal neuralgia is a highly effective treatment option with success rates ranging from 80% to 95%. The procedure is relatively safe and has a low risk of complications.


However, discussing the risks and benefits of MVD with your doctor before deciding on this treatment option is essential. Dr. Gurneet Singh Sawhney is one of the top neurosurgeons for trigeminal neuralgia surgery in Mumbai. He can provide you with expert advice on whether this procedure is appropriate for your specific case of trigeminal neuralgia.

Recovery and post-operative care after microvascular decompression for trigeminal neuralgia

Dr. Gurneet Singh Sawhney provides specific instructions for recovery and post-operative care after MVD surgery to ensure the best possible outcome and to minimize the risk of complications.


  • Patients usually spend 2 days in the hospital after MVD surgery to ensure proper healing and management of pain.
  • Medications help manage pain after microvascular decompression surgery.
  • As MVD is a minimally invasive surgery the recovery time is significantly less. Patient can get back to work within a week following the surgery. 
  •  Keeping the surgical incision clean and dry is vital to prevent infection. 
  • Regular follow-up appointments with your neurosurgeon are necessary to ensure proper healing and to monitor progress. The doctor may perform additional imaging tests to evaluate the success of the surgery.

While MVD surgery is generally safe, there are risks associated with any surgical procedure. Potential risks and complications include bleeding, infection, nerve damage, and reactions to anesthesia.

Most patients experience significant pain relief and improved quality of life following MVD surgery for trigeminal neuralgia with proper care.


Trigeminal Neuralgia
Image Source: https://www.removemypain.com/blog/trigeminal-neuralgia-treatment-in-delhi/

Success rates of microvascular decompression in treating trigeminal neuralgia

Microvascular decompression surgery is considered one of the most effective treatments for trigeminal neuralgia.

Multiple studies have shown that MVD surgery provides significant pain relief for the majority of patients with trigeminal neuralgia.


The success rates of MVD surgery typically range from 80% to 95% in achieving complete or significant pain relief.

The long-term outcomes of MVD surgery are generally positive. Most patients experience significant pain relief for several years following surgery, with some experiencing permanent relief.


However, several factors affect the success rate, including the patient's age, symptoms duration, other medical conditions, and the surgeon's experience and technique.

Long-term effects and potential recurrence of symptoms

Microvascular decompression surgery can provide significant pain relief for many years following the procedure.

However, some patients may experience persistent numbness, weakness, or other facial sensory changes.While MVD surgery has a high success rate, there is a risk of recurrence of trigeminal neuralgia symptoms.


In some cases, patients may experience a return of pain several years after surgery, which may require further treatment.

If symptoms recur following MVD surgery, other treatment options are available, including medications, nerve blocks, and repeat MVD surgery or other surgical procedures.


Trigeminal neuralgia is a painful and debilitating condition that can significantly impact a person's quality of life, but with proper treatment, it is possible to achieve significant pain relief.

You can consult Dr. Gurneet Singh Sawhney for optimum trigeminal neuralgia treatment in Mumbai. He has 18 years of experience and is an expert in stereotactic radiosurgery, neuro endoscopy, functional neurosurgery, and epilepsy neurosurgery.


Frequently Asked Questions

Does microvascular decompression cure trigeminal neuralgia?
– Yes, Microvascular decompression can provide long-term relief from the pain of trigeminal neuralgia.

It can be highly effective, with most patients experiencing a significant reduction in pain or even complete remission of symptoms. It is considered the gold standard treatment for the condition.


How long does it take for the trigeminal nerve to recover after microvascular decompression?
– The pain is relieved immediately after Microvascular decompression surgery. The recovery time for the trigeminal nerve after microvascular decompression surgery can vary, but it generally takes several weeks to several months for the nerve to fully recover. Patients may experience temporary numbness or other sensory changes in the face during this time, but these symptoms generally improve over time.

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