Microvascular Decompression Surgery

What is it?

Surgical procedure to relieve abnormal compression of a cranial nerve.

Trigeminal Neuralgia: is an irritation of the fifth cranial nerve causing severe pain along one side of the face, forehead, cheek, jaw and teeth.

What is the goal?

To alleviate pain, spasms, muscle twitching caused by the compression of the nerve by an artery or vein.

How is it done?

An incision is made over the bone behind the ear of the affected side. An operative microscope is used to identify and visualize the nerve. Often an insert such as Teflon is placed between the nerve and offending artery or vein. Nerve function is monitored during the procedure.

What are the risks?

There are always risks with any surgery. Potential complications include:

Pain
Hearing loss, facial numbness
Blood Clots
Stroke; Weakness; paralysis
Infection

How long will I be in the hospital?

Typically one to two days.

At Home:

You will be given additional instructions on the day you are discharged which will include:

Walk daily, gradually increasing time and distance. Avoid sitting or lying down for long periods as this will lead to pain and stiffness.
Do not get overtired; balance periods of activity with rest periods.
No driving while taking narcotic pain medication.
You may go up and downstairs.
Do not carry heavy items, such as groceries or laundry. Do not lift anything heavier than a gallon of milk until told otherwise by your doctor.
You should not need special equipment for home.

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