Hemifacial Spasm Surgery (Microvascular Decompression)
Hemifacial Spasm is a neurological disorder characterized by involuntary, repetitive twitching or contractions of the muscles on one side of the face. It is typically caused by compression of the facial nerve (cranial nerve VII) by an abnormal blood vessel near the brainstem. The continuous spasms not only affect facial appearance but can also impact speech, vision, and emotional well-being.
Although medications and botulinum toxin (Botox) injections can offer temporary relief, surgery remains the most definitive and lasting treatment. Dr. Rahul Gupta, Director of Neurosurgery at Fortis Noida, specializes in Microvascular Decompression (MVD) — a procedure designed to relieve pressure from the facial nerve and permanently eliminate spasms.
With decades of experience in cranial nerve surgeries, Dr. Gupta performs this intricate operation using microsurgical precision and neuronavigation guidance to ensure patient safety, faster recovery, and complete resolution of symptoms.
Clinical Management
The first step involves a detailed neurological assessment and MRI imaging to confirm the presence of a vascular loop compressing the facial nerve. Once diagnosed, Microvascular Decompression is performed under a high-powered microscope. Through a small incision behind the ear, Dr. Gupta accesses the nerve root and carefully separates the compressing blood vessel using advanced microsurgical instruments.
A tiny Teflon cushion is then placed between the vessel and the nerve to prevent further contact and irritation. This minimally invasive approach preserves the nerve function while removing the underlying cause of the spasm.
Patients typically notice significant improvement or complete resolution within days of surgery. Postoperative recovery is quick, with minimal discomfort and short hospital stay. Under Dr. Gupta’s expertise, MVD for Hemifacial Spasm provides long-term relief, restores facial symmetry, and improves confidence and quality of life for patients who have struggled for years with this distressing condition.