Dr. Arun Rajeswaran

Microvascular decompression for trigeminal neuralgia

Microvascular decompression surgery (MVD surgery) is an open surgical procedure to relieve the facial pain caused by trigeminal neuralgia. It provides long-term pain relief from trigeminal neuralgia. The purpose of Microvascular decompression surgery is to relieve pressure from the vessel that is pressing against the trigeminal nerve which causes intermittent severe facial pain.

Benefits of Microvascular decompression treatment

Microvascular decompression treatment procedure is the most common and reliable surgical trigeminal neuralgia treatment and the benefits of MVD may include-

The procedure of Microvascular decompression treatment  

The microvascular decompression surgery is done under general anesthesia. The hair behind the ear is shaved and a small part of the skull is removed. The treatable nerve is detected and then a Teflon piece is placed between the nerve and the blood vessels. The small portion of bone removal is covered with a thin mesh of metal. The patient is shifted to the intensive care unit (ICU) after the surgery for close observation by the surgeon for trigeminal neuralgia to monitor the recovery process.

Risks of Microvascular decompression treatment procedure

Microvascular decompression surgery is an invasive treatment option and has some risks like

Lab tests before the Microvascular decompression surgery

Before undergoing the Microvascular decompression surgery, some of the lab test mentioned below are usually done.

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Frequently asked questions

Quick answers before your visit — or call us anytime.

What is microvascular decompression (MVD) surgery and how effective is it for trigeminal neuralgia?

MVD is a surgical procedure that relieves pressure on the trigeminal nerve by inserting a small cushion (Teflon sponge) between the nerve and the compressing blood vessel. It has the highest long-term success rate among all trigeminal neuralgia treatmentsover 80–90% of patients achieve significant or complete pain relief.

How is MVD surgery for trigeminal neuralgia different from Gamma Knife radiosurgery?

MVD is an open surgical procedure that directly addresses the vascular compression causing nerve irritation, offering faster and longer-lasting pain relief. Gamma Knife radiosurgery is a non-invasive radiation treatment that damages the nerve to reduce pain signals but may take weeks to work and has lower long-term success rates with higher recurrence.

What is the recovery period after microvascular decompression surgery for facial pain?

Hospital stay after MVD is typically 3–5 days. Most patients experience immediate pain relief. Return to normal activities is possible within 4–6 weeks. Heavy lifting and strenuous activities should be avoided for 6–8 weeks. Follow-up is scheduled at 4–6 weeks post-surgery to assess recovery.

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