Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.
This is an unusual condition, which may be treated by GPs, neurologists, or neurosurgeons. It is characterised by a severe spasmodic and lancinating pain, which affects one part of the side of the face. The pain can be excruciatingly severe and may be triggered by various actions, including chewing, swallowing, drinking hot or cold liquids, brushing the teeth, or being exposed to a cold wind.
The exact cause of the symptoms is not precisely known, but the pain usually affects one branch of the trigeminal nerve which supplies sensation to the side of the face. In many cases symptoms seem to be related to a loop of a blood vessel within the brain itself pressing on the trigeminal nerve. Such loops can sometimes be seen using magnetic resonance imaging (MRI).
ENDOSCOPIC 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.