Dr Sanjeev Desai

Microvascular Decompression (MVD) for Trigeminal Neuralgia: A Comprehensive GuideTrigeminal neuralgia is one of the most painful neurological conditions, often described as sudden, severe, electric shock-like facial pain. For patients who do not respond well to medications, Microvascular Decompression (MVD) offers a highly effective surgical solution that addresses the root cause of the condition.What is Trigeminal Neuralgia?Trigeminal neuralgia (TN) is a chronic pain disorder affecting the trigeminal nerve, which carries sensation from the face to the brain. Even mild stimulation—such as brushing teeth, speaking, or touching the face—can trigger intense pain episodes. The condition is often caused by a blood vessel compressing the trigeminal nerve near the brainstem.What is Microvascular Decompression (MVD)?Microvascular Decompression is a minimally invasive neurosurgical procedure designed to relieve abnormal compression of the trigeminal nerve. Unlike other treatments that focus on blocking pain signals, MVD targets the underlying cause by separating the offending blood vessel from the nerve.During the procedure, a neurosurgeon makes a small incision behind the ear and creates a tiny opening in the skull. Using a microscope, the surgeon carefully identifies the blood vessel pressing on the nerve and places a soft cushion (usually made of Teflon) between them. This relieves pressure and allows the nerve to function normally.Benefits of Microvascular DecompressionMVD is considered the most effective long-term treatment for trigeminal neuralgia, especially for patients with vascular compression. Key benefits include:High success rate, with long-term pain relief in many patientsPreserves nerve function without causing facial numbnessAddresses the root cause rather than masking symptomsImproves quality of life significantlyWho is a Candidate for MVD?Microvascular decompression is typically recommended for:Patients with classic trigeminal neuralgia caused by vascular compressionIndividuals who have not responded to medications or cannot tolerate side effectsYounger or otherwise healthy patients who can undergo surgery safelyA thorough neurological evaluation and imaging tests like MRI are used to determine eligibility.Risks and ConsiderationsAs with any surgical procedure, MVD carries some risks, although serious complications are rare when performed by experienced neurosurgeons. Possible risks include:InfectionHearing lossFacial weaknessCerebrospinal fluid leakageStroke (very rare)Discussing these risks with a qualified specialist helps patients make informed decisions.Recovery After MVD SurgeryRecovery time varies, but most patients stay in the hospital for 2–4 days after surgery. Many experience immediate pain relief, while others notice gradual improvement over weeks. Full recovery typically takes a few weeks, during which patients are advised to avoid strenuous activities.Follow-up care is essential to monitor healing and ensure long-term success.Success Rate of MVDMicrovascular decompression has one of the highest success rates among trigeminal neuralgia treatments. Studies show that:Around 80–90% of patients experience immediate pain reliefA significant number remain pain-free for many yearsRecurrence rates are relatively low compared to other proceduresWhy Choose MVD Over Other Treatments?Other treatment options, such as medications, radiofrequency ablation, or gamma knife radiosurgery, may provide temporary relief but often come with side effects like facial numbness or recurrence of pain. MVD stands out because it treats the root cause and offers durable, long-term relief without damaging the nerve.ConclusionMicrovascular Decompression (MVD) is a gold-standard surgical treatment for trigeminal neuralgia, particularly for patients suffering from severe, medication-resistant pain. By addressing the underlying vascular compression, MVD provides lasting relief and restores quality of life.If you or a loved one is struggling with trigeminal neuralgia, consulting a qualified neurosurgeon can help determine whether MVD is the right treatment option. Early intervention and proper care can make a significant difference in managing this debilitating condition.

Spine Disease TreatmentThe human spine is made up of small bones known as vertebrae stacked along with discs one on top of another. The spine runs straight down the middle of the back. When the spine is viewed from the side, it has gentle curves on it which helps it to absorb stress from body movement & gravity. When irregularities occur in the spine, the natural curve of the spine gets misaligned in certain areas. It causes back pain.Spine Disorders:Herniated Disc / Slip DiscSpinal StenosisSpondylolisthesisOsteoporotic Compression FractureFacet joint arthropathy

What is brain tumour surgery?The term “brain tumour surgery” refers to various medical procedures that involve repairing structural problems in the brain. There are numerous types of brain surgery. The type used is based on the area of the brain and the condition being treated. Advances in medical technology have enabled surgeons to operate on portions of the brain without a single incision in or near the head. Brain surgery is a critical and complicated process. The type of brain surgery done depends on the condition being treated. For example, a brain aneurysm can be repaired using a catheter that’s introduced into an artery in the groin. If the aneurysm has ruptured, an open surgery called craniotomy may be used. Surgeons, while being as careful and thorough as possible, treat each surgery on a case-by-case basis.Dr. Sanjeev Desai is well-known doctor for brain tumour surgery in Nashik. He provides best services for brain tumour and neuro problems. His special areas of interest are head surgery, brain tumour surgery and spine surgery.Types of Brain Tumour Surgery 1. BiopsyIn this type of brain surgery, small brain tissue is removed from brain for examination. A small incision is made in the skull to remove tissue.2. Minimally Invasive Endonasal Endoscopic Surgery brain tumour surgery in Nashik This surgery is performed to remove brain tumours through nose and sinuses. The advantage of this surgery is, there is no need to make incision in body. The surgery is performed with the help of endoscope. Surgeon can remove tumours on pitutary gland, skull and bottom part of the brain.3. Deep Brain StimulationIn this surgery similar to biopsy, a small hole is made into the skull. The surgeon inserts a small electrode into the brain. The electrode is connected to a battery at the chest. So that electrical signals are transmitted to determine symptoms of disorders. It is mainly used to detect the symtoms of Parkinson’s disease.