What is the success rate of microvascular decompression surgery?

What is the success rate of microvascular decompression surgery?

The success rate was 83.5% (79.6-89.1). Complications included incisional infection in 1.3% (0.1-2.5), facial palsy 2.9% (0.5-6.2), facial numbness 9.1% (1.3-19.6), cerebrospinal fluid leak 1.6% (0.7-2.5), and hearing deficit 1.9% (0.2-3.9).

How long does microvascular decompression last?

One year after microvascular decompression, 75 percent of the patients had complete relief after the first operation (excellent outcome), and 9 percent had partial relief (good outcome). Ten years after the procedure, 64 percent had excellent results and 4 percent had partial relief (Figure 1A).

How much does it cost to treat trigeminal neuralgia?

The cost per quality adjusted pain-free year was $6,342 for glycerol rhizotomy, $8,174 for microvascular decompression, and $8,269 for stereotactic radiosurgery, according to Pollock and Ecker.

What are the side effects of microvascular decompression?

Microvascular decompression is an invasive procedure, and while safe in expert hands, does have potential rare/infrequent risks, including:

• Infection.
• Hearing loss, facial numbness, and/or facial weakness (usually temporary, rarely permanent)
• Spinal fluid leak.
• Difficulty with speech or swallowing.

Is MVD considered brain surgery?

Because MVD is intricate brain surgery that is performed under general anesthesia, your neurosurgeon must first determine if your overall health is sufficient to consider this procedure.

Is MVD surgery brain surgery?

Candidates are also those healthy enough to undergo surgery. MVD requires the use of general anesthesia. In addition, because it is also brain surgery, those with other medical conditions or who are in generally poor health may not be candidates.

How long does it take for the trigeminal nerve to recover after microvascular decompression?

A microvascular decompression may require up to four days of hospitalization. Most people return to normal activities in about three weeks but may have to avoid strenuous activities for a while longer.

How long does MVD surgery take?

The procedure is conducted under general anaesthetic and normally takes 2-3 hours. Microvascular decompression is an effective treatment of trigeminal neuralgia in ~90% of cases.

Can the trigeminal nerve be removed?

If a vein is compressing the nerve, your surgeon may remove it. Doctors may also cut part of the trigeminal nerve (neurectomy) during this procedure if arteries aren’t pressing on the nerve. Microvascular decompression can successfully eliminate or reduce pain most of the time, but pain can recur in some people.

Can trigeminal neuralgia come back after surgery?

Most people are able to return to work and daily activities about a month after surgery. Although no procedure is guaranteed to cure trigeminal neuralgia, all three types of trigeminal neuralgia surgery have the potential to stop pain for many years, if not permanently.

How long do headaches last after MVD surgery?

This usually disappears within 2-4 weeks after surgery. Some neck pain and headache can be expected after surgery. In most cases, these discomforts will gradually go away within a few weeks. Try not to keep your neck rigid to avoid the pain because this will only prolong the stiffness and aching.

What is the latest treatment for trigeminal neuralgia?

Microvascular decompression (MVD) surgery is regarded as the most long-lasting treatment for trigeminal neuralgia caused by blood vessel compression, and it helps about 80% of people with this diagnosis.

How much does it cost to go to the hospital for decompression surgery?

Depending on your insurance deductible, these visits can range in cost from free to full fee. Be aware that at some point you may have to seek pre-approval from your insurance company to pursue surgical intervention.

Which is the best hospital for microvascular decompression surgery?

UPMC is one of the nation’s leading centers for microvascular decompression, a minimally invasive surgical procedure that treats the cause of the cranial nerve disorders, offers the most long-lasting relief, and minimizes risk of postoperative side effects like numbness. Microvascular decompression at UPMC is often used to treat:

What are the side effects of microvascular decompression surgery?

Most patients may also experience muffled hearing on the side of surgery, facial numbness, fatigue from anesthesia, nausea/vomiting in the hospital (meds will be given) which usually improves over time. You may not drive or go back to work for about one month. You cannot wear wigs, use hair dye or other harsh products for 6 months.

Why does my insurance not cover my microvascular decompression?

At times, insurance companies may deny your pre-authorization request to cover your microvascular decompression procedure. This denial can happen for several different reasons, including: Your insurance policy not covering that specific procedure. A determination that the procedure is not medically necessary.