Microvascular Decompression (MVD) in India

What is Microvascular Decompression (MVD)?

Microvascular decompression (MVD, or the Jannetta procedure) is a delicate posterior fossa microsurgical operation where an offending pulsating blood vessel compressing a cranial nerve at its root entry zone is mobilized and padded away using inert Teflon felt.

Indications & Common Reasons for Surgery

This advanced neurosurgical intervention is recommended for patients diagnosed with:

• Classic Trigeminal Neuralgia (CN V) with excruciating lancinating facial electric shocks.
• Hemifacial Spasm (CN VII) causing involuntary unilateral facial muscular contractions.
• Glossopharyngeal Neuralgia (CN IX) provoking severe throat, tongue, and ear pain.
• Vagus or accessory nerve compression syndromes.

Surgical Techniques & Precision Modalities

Retrosigmoid keyhole craniectomy, delicate cerebellar mobilization, identification of neurovascular conflict, transposition of compressing loops of superior cerebellar artery (SCA) or AICA, and placement of Teflon sponge cushions. The procedure is performed in advanced modular operating suites equipped with 3D neuronavigation, high-definition intraoperative microscopes, neuro-endoscopy, and real-time electrophysiological monitoring to preserve vital neurological functions.

Postoperative Care & Recovery Timeline

Hospital stay of 2 to 3 days; provides immediate, permanent cure in over 90–95% of cases while preserving complete cranial nerve sensation. Patients benefit from specialized neuro-intensive care, personalized neuro-rehabilitation, and multidisciplinary follow-up to support optimal long-term functional outcomes.

Key Clinical Benefits

• Targeted, maximal safe anatomical correction and pathology excision.
• Protection of eloquent brain areas and essential cranial nerve pathways.
• Significant alleviation of neurological symptoms and prevention of secondary brain injury.
• Accelerated recovery supported by modern microsurgical and minimally invasive techniques.