Microvascular Decompression

If you are needing a microvascular decompression please Schedule an appointment with one of our Neurosurgeons as soon as possible.

Understanding Microvascular Decompression (MVD)

Microvascular decompression (MVD) offers an effective surgical solution for relieving nerve compression in the brain. Neurosurgeons commonly use this minimally invasive technique to treat trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. These conditions result from nearby blood vessels pressing against cranial nerves. By relieving this pressure, MVD often provides long-term relief—without damaging the affected nerve.

What Is Microvascular Decompression?

During MVD, the surgeon gently moves the blood vessel away from the compressed nerve. Next, they insert a small cushion, usually made of Teflon, between the nerve and the vessel. This barrier stops further contact and irritation while preserving the integrity of the nerve.

Unlike other procedures that destroy part of the nerve to stop pain or twitching, MVD keeps the nerve intact. As a result, it offers long-lasting relief without sensory loss, making it a preferred choice for many patients.

Conditions Treated With MVD

Microvascular decompression effectively treats several nerve compression disorders, including:

  • Trigeminal Neuralgia: This condition causes sudden, severe facial pain due to trigeminal nerve irritation.

  • Hemifacial Spasm: Involuntary twitching or muscle contractions on one side of the face mark this disorder.

  • Glossopharyngeal Neuralgia: Sharp pain in the throat, ear, or tongue results from irritation of the glossopharyngeal nerve.

Initially, patients often try medications to manage symptoms. However, when medications fail to provide relief or cause intolerable side effects, MVD offers a proven surgical alternative.

How the Procedure Works

Surgeons typically perform MVD under general anesthesia, and the operation takes about two to three hours. Here’s how the procedure unfolds:

  1. The surgeon makes a small incision behind the ear on the affected side.
  2. They create a tiny opening in the skull to reach the compressed nerve.
  3. After identifying the blood vessel causing the pressure, the surgeon carefully moves it away.
  4. A soft cushion is then placed between the vessel and nerve.
  5. Finally, the bone flap is replaced, and the incision is closed with stitches.

Throughout the surgery, the team uses advanced microsurgical tools and imaging technology to enhance precision and minimize risks.

Benefits of Microvascular Decompression

MVD offers several compelling benefits:

  • Provides long-lasting relief from pain or spasms

  • Preserves normal nerve function

  • Delivers low recurrence rates

  • Minimizes the risk of numbness or nerve damage

Notably, over 80–90% of patients with trigeminal neuralgia report significant or complete relief. Many remain pain-free for years following the procedure.

Recovery and Rehabilitation

After surgery, most patients stay in the hospital for a few days for monitoring and pain management. At home, recovery usually takes a few weeks. While some patients may experience mild fatigue or headaches, serious complications are rare.

Follow-up care plays an important role in healing. Neurologists typically schedule imaging and clinical evaluations to monitor recovery and ensure lasting results.

 

If you would like to speak to a Neurosurgeon, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.