Microvascular decompression is a brain surgery performed to treat severe cases of trigeminal neuralgia and other craniofacial pain syndromes. The relieves painful compression of a cranial nerve, such as the trigeminal, usually by a blood vessel. This is accomplished by creating a small opening in the back of the skull and using specialized microscopic, microdissection techniques to identify the compressed nerve and gently mobilizing the offending blood vessel away from the nerve.
Microvascular Decompression
Microvascular Decompression for Craniofacial Pain Syndromes
Patients who have failed medical management of trigeminal neuralgia, glossopharyngeal neuralgia, and other craniofacial pain syndromes and in whom there is a high suspicion for a compressive blood vessel may be candidates for microvascular decompression.
Why Choose Virginia Neurosurgeons?
Virginia Neurosurgeons, founded in Arlington in 2001, stands as a prominent and independent neurosurgical group that provides comprehensive care in Northern Virginia. With an established record of care involving over 30,000 patients, our expert surgeons, educated at prestigious institutions, offer academic-level neurosurgical expertise. Board-certified by the American Board of Neurological Surgeons and holding faculty appointments with the George Washington University School of Medicine, our commitment to ethical, compassionate care sets us apart. As neurosurgeons, we integrate comprehensive training, evidence-based approaches, and a team-oriented philosophy, aiming to address the root cause of symptoms and enhance the quality of life for our patients. Through an unwavering dedication to open communication and personalized care, we strive to make a positive impact on the lives of those dealing with pain and cranial nerve syndromes.
Microvascular Decompression at Virginia Neurosurgeons
At Virginia Neurosurgeons, our specialists perform comprehensive assessment which includes a detail neurologic evaluation and advanced diagnostic imaging such as MRI and CT scans to completely understand the unique aspects of your condition. If our surgeons recommend a microvascular decompression, we will walk you through the process step by step:
Preoperative Evaluation:
- Thorough patient assessment, including medical history and diagnostic imaging studies.
- Specialized imaging techniques such as thin cut MRI scans are used to identify possible compressive blood vessels and rule out other cases of pain.
Anesthesia and Positioning:
- Administration of anesthesia to ensure patient comfort and safety.
- Careful positioning of the patient to optimize access to the surgical site.
Incision and Exposure:
- An incision is made in the back of the skull behind the ear, and a small region of the skull is exposed.
Craniotomy:
- A small piece of bone is removed from the back of the skull (craniotomy) to create additional space for the brain.
Dural Opening:
- Gently opening the protective covering of the brain (dura) to expose the compressed cranial nerve.
Decompression:
- Under microscopic visualization, the course of the nerve is inspected, compressive vessels are identified and mobilized, and the nerve is cushioned with small pieces of padding, all using microdissection techniques.
Closure:
- Precise closure of the surgical site using advanced suturing techniques.
- Attention to minimizing scarring and optimizing healing.
Postoperative Monitoring:
- Careful monitoring in the recovery room for immediate postoperative care.
- Regular follow-up appointments to track progress and address any concerns.
