Monday, January 27, 2014

Trigeminal Neuralgia

This gentleman aged 48 years presented with episodes of excruciating pain over the right side of his
face for 12 years. The pain was brought on by chewing food or shaving and lasted only a few seconds.
An MRI scan revealed a blood vessel indenting the trigeminal nerve i.e. the nerve concerned with sensations over the face.
The patient was treated by “Micro-vascular decompression” in which the nerve was cleared of the offending vessel and Teflon patches placed between them above and below, to prevent further
irritation of the nerve.
The patient was completely relieved of his pain.

Posterior 3rd Ventricle Tumor

A boy aged six presented with episodes of headache and vomiting for about 1 year.

He was drowsy and could not turn his eyes upwards.

MRI of brain revealed a tumor towards the back of the third ventricle (the water system of the brain) with moderate hydrocephalus (dilatation of the water system of the brain).

The tumor was removed by microsurgical technique from the back of the head.

The size of the ventricles of the brain decreased towards normal after surgery.

The patient too improved after surgery and was ambulatory at discharge from hospital.