Microvascular Decompression

Microvascular Decompression: общие сведения

Microvascular decompression (MVD) in India is a neurosurgical operation used mainly for selected patients with trigeminal neuralgia or hemifacial spasm when a blood vessel is compressing the affected cranial nerve. Unlike destructive procedures for trigeminal neuralgia, MVD aims to separate the vessel from the nerve while preserving nerve function.

Assessment includes a detailed neurological history and examination and usually high-resolution MRI focused on the cranial nerves and posterior fossa. Imaging can demonstrate a possible neurovascular contact, but the clinical pattern remains essential because vascular contact can also be seen in people without symptoms. The team reviews previous medicines, treatment response, hearing status, surgical fitness and whether another diagnosis could explain the facial pain or spasm.

MVD is performed through a small posterior-fossa craniotomy. The surgeon identifies the offending vessel and places it away from the nerve, often using a small interposition material or another decompression technique. Important risks include hearing loss, facial weakness or numbness, cerebrospinal-fluid leak, infection, bleeding, stroke and recurrent symptoms. Sudden new neurological deficit, reduced consciousness or an atypical severe new headache requires urgent local assessment rather than planned travel.

The cost of microvascular decompression in India depends on the indication, MRI and preoperative testing, neurosurgeon and hospital, intraoperative monitoring when used, anaesthesia, ICU or ward stay and treatment of complications. Revision MVD can require a different estimate from a primary operation.

India has tertiary neuroscience centres with cranial-nerve and skull-base neurosurgeons, high-resolution MRI, neurophysiological monitoring and neurocritical-care support. Medical Help India is a connection platform that can connect medically stable international patients with an appropriate healthcare partner to review symptoms and imaging, compare MVD with medication or other procedures and provide an individual treatment and cost estimate.

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