Maharashtra Times Nagpur. Monday, 21 November 2022
What is trigeminal neuralgia?
Dr. Palak Jaiswal, Neurosurgeon
In the intricate landscape of neurological disorders, one condition stands out for its relentless and excruciating nature - Trigeminal Neuralgia. Often dubbed the 'Suicide Disease' due to the unbearable pain it inflicts, Dr. Palak Jaiswal, a distinguished Neurosurgeon, sheds light on this debilitating ailment, its triggers, and the hope offered by surgical intervention.
Understanding Trigeminal Neuralgia: The 'Suicide Disease'
Trigeminal Neuralgia manifests as sudden, searing pain on one side of the face or gums, earning it the ominous nickname 'Suicide Disease.' Dr. Palak Jaiswal delves into the symptoms, describing the affliction as akin to electric shocks or pricking sensations, with these agonizing episodes intensifying over time. While it typically affects individuals over 50, this merciless condition can strike at any age.
Triggers of the Agony: Everyday Activities Turned Torture
Engaging in seemingly routine activities like shaving, washing the face, applying makeup, brushing teeth, eating, drinking, talking, or even exposure to wind becomes a harrowing ordeal for those battling Trigeminal Neuralgia. The pain, though challenging to cure, is not fatal, offering a ray of hope to those grappling with its effects.
Unveiling the Causes of Trigeminal Neuralgia
The roots of Trigeminal Neuralgia lie in vascular compression or inflammation of the trigeminal nerve due to demyelination diseases. This compression can result from blood vessels or tumors, leading to the severe pain characteristic of this condition. Dr. Jaiswal emphasizes that while conventional medical therapy can provide relief, surgery emerges as the optimal treatment for lasting freedom from Trigeminal Neuralgia's relentless grip.
Microvascular Decompression: A Beacon of Hope
Microvascular Decompression (MVD) stands out as a transformative surgical intervention for those ensnared by Trigeminal Neuralgia. Dr. Jaiswal explains that during this procedure, surgeons use a neuromicroscope to access the skull through an opening behind the ear. They identify and alleviate pressure on the blood vessels in the facial nerve, a crucial step in preventing the relentless pulsating that triggers the excruciating pain. A Teflon sponge is then inserted to maintain a separation between the vessel and the nerve, offering a lasting solution for those suffering.
Navigating the Post-Surgery Landscape: Risks and Recovery
While MVD surgery offers hope, Dr. Jaiswal doesn't shy away from acknowledging the potential risks, including infection, excessive bleeding, spinal fluid leakage, and anesthesia-related complications. Patients typically spend two days in the hospital post-surgery, with pain and stiffness subsiding within a week. Normal activities can be resumed gradually, but heavy lifting should be avoided for the initial six weeks.
A Glimpse into the Future: Does Surgery Guarantee Permanent Relief?
While Dr. Jaiswal underscores that no surgery guarantees absolute success for every patient, MVD surgery remains the most effective solution for providing enduring relief from the pain and suffering inflicted by Trigeminal Neuralgia. The possibility of pain recurrence exists, but the transformative impact of surgery offers a beacon of hope for those plagued by this agonizing 'Suicide Disease.'
Conclusion
Dr. Palak Jaiswal's insights into Trigeminal Neuralgia paint a comprehensive picture of the challenges faced by patients and the potential avenues for relief, emphasizing the crucial role of surgical intervention in reclaiming a life free from the shackles of relentless pain.