Microvascular Decompression (MVD) in Hyderabad
Microvascular decompression for trigeminal neuralgia and hemifacial spasm—microsurgical relief with nerve preservation.
Medically reviewed by Dr Sayuj Krishnan — MBBS, DNB Neurosurgery (Direct 6 years), Fellowship in Minimally Invasive & Advanced Spine Surgery • Last reviewed: 4 October 2025
Overview
MVD is a microsurgical procedure that relieves vascular compression on cranial nerves—most commonly the trigeminal nerve—to stop severe, electric shock-like facial pain while preserving nerve function.
When is MVD Recommended?
- Drug-resistant trigeminal neuralgia with neurovascular conflict on MRI
- Hemifacial spasm caused by vascular compression
- Failure or intolerance of medications and percutaneous options
Technique & Safety
Through a keyhole retrosigmoid approach, the compressing vessel is gently mobilized and a Teflon® pad is placed between the vessel and nerve. Intra-operative neuromonitoring and microsurgical optics improve safety.
Risks & Complications
- Bleeding, infection, CSF leak
- Hearing changes, facial numbness (usually transient)
- Anesthetic risks
Recovery & Follow-up
- Hospital stay typically a few days
- Gradual return to routine in 2–4 weeks
- Periodic reviews with imaging/symptom tracking
Frequently Asked Questions
Is MVD a permanent cure for trigeminal neuralgia?
Many patients experience long-term relief; recurrence can occur and is managed individually. Your MRI and symptom profile guide expectations.
Will my face become numb after MVD?
MVD aims to preserve nerve function. Transient numbness can occur but persistent deficits are uncommon.
Ready to discuss your treatment?
Call +91-9778280044 or book a consultation.