Microvascular Decompression for Craniofacial Pain Syndromes

Patients who have failed medical management of trigeminal neuralgia, glossopharyngeal neuralgia, and other craniofacial pain syndromes and in whom there is a high suspicion for a compressive blood vessel may be candidates for microvascular decompression.

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Why Choose Virginia Neurosurgeons?

Virginia Neurosurgeons, founded in Arlington in 2001, stands as a prominent and independent neurosurgical group, providing comprehensive care in Northern Virginia. With an established record of care involving over 30,000 patients, our expert surgeons, educated at prestigious institutions, offer academic-level neurosurgical expertise. Board-certified by the American Board of Neurological Surgeons and holding faculty appointments with the George Washington University School of Medicine, our commitment to ethical, compassionate care sets us apart. As neurosurgeons, we integrate comprehensive training, evidence-based approaches, and a team-oriented philosophy, aiming to address the root cause of symptoms and enhance the quality of life for our patients. Through an unwavering dedication to open communication and personalized care, we strive to make a positive impact on the lives of those dealing with pain and cranial nerve syndromes.

Microvascular Decompression at Virginia Neurosurgeons

At Virginia Neurosurgeons, our specialists perform comprehensive assessment which includes a detail neurologic evaluation and advanced diagnostic imaging such as MRI and CT scans to completely understand the unique aspects of your condition.  If our surgeons recommend a microvascular decompression, we will walk you through the process step by step:

Preoperative Evaluation:

  • Thorough patient assessment, including medical history and diagnostic imaging studies.
  • Specialized imaging techniques such as thin cut MRI scans are used to identify possible compressive blood vessels and rule out other cases of pain.

Anesthesia and Positioning:

  • Administration of anesthesia to ensure patient comfort and safety.
  • Careful positioning of the patient to optimize access to the surgical site.

Incision and Exposure:

  • An incision is made in the back of the skull behind the ear and a small region of the skull is exposed. 


  • A small piece of bone is removed from the back of the skull (craniotomy) to create additional space for the brain. 

Dural Opening:

  • Gently opening the protective covering of the brain (dura) to expose the compressed cranial nerve.


  • Under microscopic visualization, the course of the nerve is inspected, compressive vessels are identified and mobilized, and the nerve is cushioned with small pieces of padding, all using microdissection techniques.  


  • Precise closure of the surgical site using advanced suturing techniques.
  • Attention to minimizing scarring and optimizing healing.

Postoperative Monitoring:

  • Careful monitoring in the recovery room for immediate postoperative care.
  • Regular follow-up appointments to track progress and address any concerns.
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Contact our Virginia Neurosurgeons Today to Schedule a Consultation with a Microvascular Decompression Specialist

If you or a loved one are experiencing symptoms associated from trigeminal neuralgia or other craniofacial pain syndromes, take the first step towards relief by scheduling a consultation with Virginia Neurosurgeons. Our experienced specialists, equipped with cutting-edge technology are dedicated to understanding your specific case and providing the highest quality of neurosurgical expertise. Don't wait—reach out today to embark on the journey towards improved neurological health.

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