Post MVD, It Still Feels Pain In Patients With Trigeminal Neuralgia?

Illustration of Post MVD, It Still Feels Pain In Patients With Trigeminal Neuralgia?
Illustration: Post MVD, It Still Feels Pain In Patients With Trigeminal Neuralgia? assets.neurosurgicalatlas.com

Dear Doctor, I want to ask, my mother got TN already 10 years but only had surgery 1 month ago, but how come it still relapsed? The initial relapse is still mild, but a few days it starts like the beginning of the pain … the doctor said that the inflammation is a long time ago, it’s almost 10 years … is it really just inflammation? Or is there a possibility the operation failed? Because my mother has started to stress again considering the cost of kmren surgery is very expensive once I have to operate again … Thank you

1 Answer:

Hello Riangga,

Trigeminal neuralgia is a condition of chronic headaches due to disorders of the trigeminal nerve. Complaints of headache can be a sensation of pain, such as electric shock, tension, cramps in the cheeks, jaw, gums, or lips. Pain can be felt for several seconds to several minutes, in severe cases, patients can feel pain hundreds of times a day.

Trigeminalneuralgia is caused by pressure on the trigeminal nerve by the surrounding blood vessels. It also can be caused due to nerve compression by the tumor, the effects of surgical procedures, stroke, multiple sclerosis, and aging.

Management of trigeminal neuralgia is by medication, botox injection, to surgery, one of which is MVD / microvascular decompression surgery. Besides MVD, surgery can also be performed with rhizotomy and gamma knife radiation surgery.

MVD surgery itself is carried out with the aim of releasing the pressure of blood vessels in the trigeminal nerve. A cushion will then be placed between the nerves and blood vessels, in some cases doctors can cut off the blood vessels that press on the trigeminal nerve.

The success rate of MVD surgery is quite high at 90-95%. It is reported that 20% of patients undergoing MVD experience a recurrence within the first 10 years. If your mother is currently experiencing the same symptoms again, your mother should discuss again with a neurosurgeon who treats it so that further evaluation can be done to determine her condition.

If this has been examined and inflammation is found, the doctor will provide further treatment according to your mama's condition. Meanwhile, if there is a recurrence, the doctor can provide treatment with drugs until the operation returns. The type of treatment will be adjusted to the results of the last inspection, yes.

Hope it helps you,

Thank you

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