Living with Trigeminal Neuralgia

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MVD's

For members who either have had, are having or considering having an MVD! Somewhere where those having had MVD's can share their experiences with those who are considering getting this done.

Members: 52
Latest Activity: Aug 31





http://mayfieldclinicspinesurgerycenter.com/PE-MVD.htm
Overview

Microvascular decompression (MVD) is a surgical procedure that relieves abnormal compression of a cranial nerve. It is performed to treat trigeminal neuralgia, vagoglossopharyngeal neuralgia, and hemifacial spasm. These conditions are often caused by an artery or vein compressing the nerve root as it leaves the brainstem. When compressed, normal nerve impulses can recruit nearby nerve fibers and send faulty messages. Medications often provide relief to patients with these conditions, but when medications become ineffective or cause serious side effects, one treatment option is MVD.
What is MVD?

MVD is a surgical procedure to relieve the symptoms (pain, muscle twitching) caused by compression of a nerve by an artery or vein. MVD involves surgically opening the skull (craniotomy) and exposing the nerve at the base of the brainstem to insert a tiny sponge between the compressing vessel and the nerve. This sponge isolates the nerve from the pulsating effect and pressure of the blood vessel.

Trigeminal neuralgia is an irritation of the fifth cranial nerve causing severe pain that usually affects one side of the face, normally in the forehead, cheek, jaw, or teeth (Fig. 1). To treat trigeminal neuralgia, a sponge is placed between the trigeminal nerve and the superior cerebellar artery or a branch of the petrosal vein. By removing the compression, the painful symptoms are relieved.
Who is a candidate for MVD?

You may be a candidate for MVD if you have:

* trigeminal neuralgia that is not well controlled with medication and you desire minimal to no facial numbness that may be associated with other treatments such as percutaneous stereotactic radiofrequency rhizotomy (PSR) or glycerol injection
* facial pain isolated in the ophthalmic division or in all three trigeminal divisions
* facial pain recurrence after a previous percutaneous or radiosurgery procedure

Because MVD involves the use of general anesthesia and brain surgery, patients with other medical conditions or who are in poor health may not be candidates. MVD is not successful in treating facial pain caused by multiple sclerosis. Because of the low risk of hearing loss, MVD may not be suitable for patients who have hearing loss in the other ear.

Discussion Forum

Anna Guarco Cheney

MVD recovery 17 Replies

Hello, I'm considering an MVD for both TN and hemifacial spasm.  I want to know what people's recovery experiences have been like... what to expect, what restrictions there are and for how long, etc.…

Started by Anna Guarco Cheney. Last reply by Ella Aug 20.

Debbie Burns

problems after mvd surgery 7 Replies

Had mvd surgery almost 4 ths ago. i have lingering problems including the numbness on half the face and now dry eye problems from it. teeth are very sensitive since the only thing you feel is the tee…

Started by Debbie Burns. Last reply by Debbie Burns Jul 15.

Vic Maidhof

Cutting the Nerve during an MVD ? 28 Replies

Consulted my neurosurgeon to schedule MVD for Atypical TN...during our meeting I asked him if he did not find a blood vessel attached to a nerve what then? He said if he would "cut the nerve"....I wa…

Started by Vic Maidhof. Last reply by Liz K. Jul 14.

Suzanne Marriott

Double-vision after MVD surgery 4 Replies

I had MVD surgery a few days ago (June16th) and I'm doing pretty good! I am not having TN pain, just pain from the incision and from the harness that was screwed onto my head to keep it from moving d…

Started by Suzanne Marriott. Last reply by Vic Maidhof Jul 10.

Comment Wall

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Janet L Ditslear Comment by Janet L Ditslear on August 30, 2010 at 7:02pm
On day five post op from having mvd surgery. Doing well, just resting and recovering. The doctor, Dr. Payner, Indianapolis, found 1 larger artery and one smaller artery wrapped around my nerve. Everything went well and I'm very happy that I went through it...it would probably have gotten worse over time...still groggy...but only on advil and tylenol...
Gina Berg Comment by Gina Berg on August 29, 2010 at 10:16pm
I've scheduled my surgery for 9/22!
Janet L Ditslear Comment by Janet L Ditslear on August 24, 2010 at 10:01pm
I am new brand new to this website and I am having mvd tomorrow. Very nervous, but I have struggled with medication for 6 months and in the hospital twice for medicinal reasons. The pain is coming back, not electrocuted yet, which in a way if I were jolted just once, the surgery couldn't come soon enough. We've done a lot of research and the surgeon offered this, "you didn't try Lyrica, but you need to discover and decide by yourself when you've reached your threshold." We'll , with much prayer, and struggling with my health for the last six months, I am ready with God's help. In hindsight, I have had TN since 2003, with remission in 2003 until 2006, and it came back this year in February with gusto...any advice for last minute jitters. I've only had my tonsils out when I was eleven!
Connie Comment by Connie on August 19, 2010 at 3:42pm
Hi Gina
I had MVD in May 2009 and haven't had any nerve pain since the operation. I had two MRI's and neither showed compression. I went eight years trying to control the pain and then having pain, increasing meds and still having pain. I was so afraid of having the MVD. Now I really wish I had not wasted eight years in so much pain and on so much medication. When they tell you if gives you your life back - they mean it. I was fortunate to talk to a man who had the MVD two years previous by the same neurosurgeon I was going to. He told me to go for it and don't look back. He wa right. This last year without pain is amazing. The only advise I would give you is make sure the neurosurgeon has alot of experience in this operation. I think that makes a difference.
Good luck
Connie
Gina Berg Comment by Gina Berg on August 19, 2010 at 3:07pm
Thanks for everyone's comments! It is certainly nice to hear success stories. I struggle because I know MVD has been successful for so many people and that is what I hope for, but there are also the unfortunate handful of people that get MVD and experience complications or still have pain after surgery. I appreciate everyone's feedback and support.
Kirsti Leeder Comment by Kirsti Leeder on August 19, 2010 at 2:55pm
Hey gina, I would advise MVD, I too was diagnosed very young, only unlike you I waited years before I had mine, I wish I had had it earlier. I am almost pain free on that side and had my MVD in april 09. I am currently experiencing pain on the other side now as I suffer Bilateral TN and waiting to see neurosurgeon in November.....if he, as my GP suspects, offers me MVD I will take it , lots of luck xxx
Suzanne Marriott Comment by Suzanne Marriott on August 17, 2010 at 10:45pm
Hey Gina, I'm sorry to hear that you became a member of our "club" at such a young age. Not that it is good to have at ANY age. I am one of those who suffered for years before finally having MVD on June 16th this year (2 months ago). I was told by 2 different neurologists that MVD wouldn't work. I read so many other accounts from people here who had the same symptoms I did, and had successful MVD surgeries. I finally went back to my GP and asked (begged, really) for a referral to a good neurosurgeon who had done hundreds of these surgeries. He told me I was a candidate for surgery, so I went for it. My TN pain is gone, and I no longer take any of the meds I was on for TN. I also had awful side effects with those... and still had lots of pain. I don't think it's too soon for you to have surgery. Eight months is plenty of time to know if meds are going to control it or not. There are risks, of course. You will need weeks to recover before going back to work, but then I'm guessing you haven't been feeling all that great with the zaps-to-the-head pain you've been living with. My biggest problem since the surgery has been feeling tired and weak, I can't unload 120 lb. bales of hay like I used to but it's getting better. Also, I awoke from surgery with double-vision. I still have it to a certain degree but it is getting better also. I have trouble with depth-perception, so I'm not real confident when driving. This is a rare complication caused by damage to a nerve controlling an eye muscle, and the doctor said it will go away in time. The good news is, the pain from the surgery never hurt as much as the TN pain! Good luck!
jamie leigh Comment by jamie leigh on August 17, 2010 at 8:56pm
My experience was the same as yours. I suffered with the pain and meds for just five months before my MVD.
Gina Berg Comment by Gina Berg on August 17, 2010 at 4:20pm
Am I being impulsive?

I was diagnosed with TN at age 26 in December immediately upon describing the symptoms to my doctor. It's only been 8 months and we are ready to move forward with MVD. I know everyone is different but I hear about so many people waiting years before getting surgery done. Am I being too impulsive? I just want my life back. I've tried 3 different meds and maxed out the dosages on them - all with terrible side effects and still feeling pain. I've done a ton of research, read tons of blogs and posts, I just want to make sure I have all my bases covered. I know this is NOT something to take lightly. I want someone who actually understands what I'm facing to play devils advocate with me instead of my family saying "they support me in anything I want to do." Thoughts?
jamie leigh Comment by jamie leigh on July 30, 2010 at 7:51am
Thank God for Lily feeling better!!!!!!
 

Members (52)

jamie leigh Vic Maidhof Liz K. Pamela Olson Anna Guarco Cheney Debbie Burns uwfotogal Sarah Hobbs Scott M. Val Kerry Michaela Claire Tami  McGough Andy Anthony Bob Homerin Connie Melodye Olsavsky Ella Bob Snodgrass Tom Johnson Julie Nolte Bonnie Gray Suzanne Marriott Jo Aleshia Kimberley Bauman Kimberlie Nesgoda Diana Marcela Genther Lyn
 
 
 

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