MVD for Trigeminal Neuralgia — Case Story (Hyderabad)
A de-identified patient success story
Case Narrative (De-identified)
Chief Concern
Early-50s homemaker with 2 years of electric shock-like facial pain triggered by touch and chewing; partial relief with carbamazepine, intolerable side effects at higher dose.
Assessment
Classical trigeminal neuralgia pattern without sensory loss; normal neuro exam.
Imaging & Tests
MRI with high-resolution sequences showed vascular loop contacting the trigeminal nerve root entry zone; labs normal.
Shared Decision-Making
Options discussed—medication optimization, radiosurgery, percutaneous procedures, microvascular decompression. Patient prioritized durable, drug-free relief; elected MVD.
Procedure
Retromastoid craniotomy; offending vessel gently mobilized; Teflon felt placed to separate it from the nerve. Microsurgical technique under general anesthesia.
Hospital Course
3-day stay. Early mobilization; short course of analgesics; gradual taper of carbamazepine.
Recovery Timeline
- ✓Week 1: No shock-like pains; mild incision discomfort
- ✓Week 4: Normal diet without triggers; off anticonvulsant medication under supervision
- ✓Month 6: Pain-free; no facial numbness
Outcome
Durable pain relief with preserved nerve function at 6 months follow-up.
Patient Reflections
"Being able to eat and talk without fear changed my day-to-day life."
Key Takeaways
MVD offers the highest chance of long-lasting relief when compression is demonstrated; not all patients are candidates—MRI and clinical pattern guide decisions.
Frequently Asked Questions
Is MVD curative?
It offers the best chance for durable relief in classic TN with vascular compression; individual results vary.
What are alternatives to MVD?
Radiosurgery or percutaneous procedures; relief may be less durable or involve numbness.
How long is recovery?
Most routine activities resume in weeks; full recovery varies by patient.
Discuss Trigeminal Neuralgia Surgery Options
Explore treatment options with Dr. Sayuj Krishnan
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 15 January 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.