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Microvascular Decompression

Also known as craniotomy, microvascular decompression is a surgical treatment for the unpredictable and often debilitating facial pain of trigeminal neuralgia.

Your Best Choice for Surgical Treatment of Trigeminal Neuralgia

For the past 20 years, HCA Virginia's world-renowned physician, Dr. K. Singh Sahni, M.D., FACS, has used multiple modes of effective treatment, including microvascular decompression, to help more than 2,000 people who suffer from trigeminal neuralgia.

Considered the most invasive form of surgical treatment for trigeminal neuralgia, microvascular decompression delivers the highest rate of success, particularly for the small subsection of patients who are in generally good health and without major medical problems.

What to Expect

During the procedure, which is carried out in an HCA Virginia hospital operating room under general anesthesia, a small part of the skull bone behind the ear is removed, allowing access to the junction of the trigeminal nerve near the jaw on the side of the face where the pain occurs. The goal is to lift and permanently elevate any blood vessel that may be pressing on the trigeminal nerve and creating facial pain.

Your Recovery and Follow-Up

Your recovery is thoroughly monitored following surgery and the results carefully explained to your waiting family. You'll spend the night of surgery in our advanced neuroscience intensive care unit, after which you'll move to a regular private room. Your surgical dressing will stay in place for two to three days. Once it's changed, you'll be discharged and ready for follow-up care, which may include exercise at home and a return visit with your neurosurgeon.

Learn more about trigeminal neuralgia in our online Health Library.

Contact Us

Call our Consult-a-Nurse team at 804.320.DOCS (3627) to find specialists, make an appointment and learn more about brain, nervous system and stroke care services at HCA Virginia.