Hemifacial Spasm and Trigeminal Neuralgia

Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.

Trigeminal Neuralgia

 Vth Cranial nerve – Trigeminal  Nerve

Trigeminal neuralgia is the term applied to a particular facial pain which is unique amongst the neuralgia in that the pain can nearly always be completely controlled by treatment. If the same treatment is mistakenly give to patients with other forms of facial pain, they are unlikely to be improved and be made worse.

ENDOSCOPIC MINIMALLY INVASIVE KEYHOLE SURGERY

MICROVASCULAR DECOMPRESSION – MVD 

Endoscopic Microvasular decompression is a procedure in which a 2cm opening is made behind the ear and through this opening a endoscope of  4mm size is inserted to find the vessel which is offending the trigeminal nerve which is then separated from the nerve using micosurgical instruments and a small teflon graft is placed inbetween the vessel and nerve. Patient is immediately relieved of the severe  pain on the face and is disharged within 24 hours from the hospital.

RESULTS

The results for ENDOSCOPIC Microvascular decompression  MVD are excellent and once done patient is relieved of the pain forever and permanently. Hospital stay is only for 24 hours.

Hemifacial Spasms

Involve’s VIIth Cranial nerve – Facial Nerve

Hemifacial spasm is a facial disorder that is not painful, but its proposed aetiology is so similar to trigeminal neuralgia that it is best described in this chapter. The condition is characterized by unilateral spasm of the facial muscles supplied by the facial nerve.

LATEST TREATMENT

ENDOSCOPIC MICROVASCULAR DECOMPRESSION – MVD FOR TRIGEMINAL NEURALGIA OR HEMIFACIAL SPASMS

Endoscopic Microvasular decompression is a procedure in which a 2cm opening is made behind the ear and through this opening a endoscope of  4mm size is inserted to find the vessel which is offending the trigeminal nerve or the Facial Nerve which is then separated from the nerve using micosurgical instruments and a small teflon graft is placed in between the vessel and nerve. Patient is immediately releived of the severe  pain on the face  or facial spasms and is disharged within 24 hours from the hospital.
RESULTS
The results for ENDOSCOPIC MINIMALLY INVASIVE KEY HOLE SURGERY for Microvascular decompression MVD are excellent and once done patient is relieved of the pain or facial spasms forever and permanently. Hospital stay is only for 24 hours.