Meet Expert Neurosurgeons for Trigeminal Neuralgia Surgery in India

Expert Trigeminal Neuralgia surgery in India with leading neurosurgeons. GetWellGo ensures quality care and support for international patients.

Meet Expert Neurosurgeons for Trigeminal Neuralgia Surgery in India

Trigeminal neuralgia

Trigeminal neuralgia (TN) is a type of chronic pain disorder that occurs in the trigeminal nerve, which is the fifth nerve of the brain, and it is tasked with transmission of signals related to the face to the brain.

Key Features

  • Facial pain: sharp, electric-shock-like pain with instant onset, usually, on only one part of the face.
  • Trigger factors: the actions that trigger the attack include tooth brushing, chewing, speaking, shaving, a light breeze, etc.
  • Duration: attacks vary between a few seconds to a few minutes, (but may recur in clusters).
  • Remission: at times there may be no pain, but the condition usually becomes worse in the long run.

Causes

  • Nerve compression: this is usually because of a blood vessel pressing a nerve root known as trigeminal nerve.
  • Multiple sclerosis (MS): TN can be caused by demyelination of nerve fiber due to MS.
  • Tumors (exceedingly rare): pressing on the nerve.
  • Idiopathic: no definite cause in certain cases.

Trigeminal Neuralgia Surgery in India

TN surgery is an intervention or surgical procedure so as to alleviate the severe pain in the face of a patient diagnosed with TN, often when:

  • Drugs (such as carbamazepine) cease being efficacy, or
  • Adverse effects of medications are unable to be tolerated.
  • Pain transforms into severe, frequent or disabling.

The main objectives of surgery are:

  • Alleviate or pain
  • Conserve as much of the normal sensation of the face as may be done safely
  • Minimize the use of drugs

What Conditions need Surgery?

Surgery is mostly advised in case of.

  • Pain is no longer under the control of medications
  • Side effects (e.g., dizziness, drowsiness, memory loss) are not tolerable
  • Pain is regular or disabling
  • On MRI, there is nerve compressions that can be identified

Trigeminal Neuralgia Surgery Types

There are three different varieties of surgical intervention, assessing the age, health and the result of MRI.

Microvascular Decompression

  • What it does: It is an open brain surgery to alleviate pressure under the blood vessel that impinges on the trigeminal nerve.
  • Surgery: The neurosurgeon perform it by drilling a small hole at the back of the ear, locate the constricting artery/vein and displaces or cushions them using a small pad (Teflon felt).
  • Efficacy: ~80-90 percent continual alleviation of pain.
  • In: Younger and healthy patients with evident vascular compression on MRI.

Minimally Invasive Procedures (Percutaneous Rhizotomy Procedures)

  • Applied by a small needle into the cheek to the skull base (without open surgery).

There are three kinds:

  • Radiofrequency ablation: the heat causes some destruction to a part of the nerve
  • Glycerol injection: Neurotoxic injury of nerve
  • Balloon compression: The nerve fibers are compressed by a balloon

Treatment: 80-90 percent immediate relief

In: Older patients, or those not fit to do open brain surgery

Gamma Knife / CyberKnife Stereotactic Radiosurgery

  • What it is: extremely circularized radiations directed to the trigeminal nerve root (non-invasive, no incision).
  • Effectiveness: Up to 80 percent are pain-free in a few weeks to months.
  • Indicated in: Old patients or patients incapable of tolerating surgical procedures.

Best hospital for trigeminal neuralgia surgery in India

  • Artemis Hospital, Gurgaon
  • Medanta-The Medicity, Gurgaon
  • Fortis Memorial Research Institute, Gurgaon
  • Max hospital, Saket

Factors Affecting Trigeminal neuralgia treatment cost in India

The expenses of treating trigeminal neuralgia in India vary in accordance with many medical, hospital and patient-related parameters.

Type of Treatment Selected

Various treatment alternatives are a big discrepancy in price:

  • Medication control (carbamazepine, oxcarbazepine, etc.) → minimum cost, but the cost is periodical.
  • Microvascular Decompression (MVD) → the most costly because it is an open procedure in the brain.
  • Percutaneous (radiofrequency rhizotomy done, glycerol injection, balloon compression) → moderate cost.
  • Stereotactic radiosurgery (Gamma Knife / CyberKnife) → expensive, due to the sophisticated equipment.

Hospital Category & Infrastructure

  • Premium (JCI-NIQH/NABH accredited, metros) hospitals -> more expensive.
  • Medium size multispeciality hospitals → cheaper.
  • Government hospitals: subsidized but longer-waiting
  • It is costly to use modern technologies (intraoperative MRI, navigation systems).

Surgeon’s Expertise

  • Extremely skilled neurosurgeons that have international exposure are more expensive.
  • Complex ones (recurrent trigeminal neuropathic pain, TN with multiple sclerosis) are more expensive to treat, as they require more experience.

Diagnostic Tests

  • Brain MRI with particular sequences (to diagnose compression of nerves or to rule out tumors).
  • Other blood tests, neurological tests, anaesthesia screening increase costs.

Disease State of Patient

  • Age and comorbidities (such as diabetes and hypertension and cardiac disease) → may be serious needing ICU support and extended hospital stay.
  • Multiple sclerotic patients or tumor patients→ they are more expensive to cater to.

Hospitalization & Post-surgery Needs

  • MVD (5-7 days stay +ICU + ward).
  • Percutaneous procedures → generally day stay.
  • Gamma Knife - Gamma Knife usually out-patient (no admission).
  • Responses are longer resulting in an augmented cost of room, nursing, and medication expenses.

Technology and I Equipment Used

  • Gamma Knife / CyberKnife radiosurgery ↑ The type of technology employs imported equipment i.e. it is very expensive.
  • Neuronavigation, microsurgical instruments or operating microscope are used and this adds to surgical fees.

City of Treatment

The prices vary by location:

  • The Tier-1 metros (Delhi, Mumbai, Bangalore, Chennai) → greater.
  • Tier-2 cities → cheaper, yet there is low accessibility to highly progressive technology.

Follow-Up & Postoperative Care

  • Medicines of pain, physiotherapy, and follow-ups are also costly.
  • In case of complications (CSF leak, infection, facial numbness) expenses can be raised.

Global Patient Services 

  • Translation services, visa, and transportation to and fro the airports, accommodation, and other special coordinators to oversee foreign patients → costs included in international packages, add to total costs.

Best neurosurgeons for trigeminal neuralgia in India

Dr. Aditya Gupta

Dr. Aditya Gupta is an esteemed and highly accomplished neurosurgeon in India, serving as the Chairperson of Neurosurgery, CNS Radiosurgery and Co-Chief of the CyberKnife Centre at Artemis Hospitals, Gurgaon. Recognised as one of India's leading brain surgeons, Dr Gupta has successfully performed over 10,000 brain tumour surgeries and more than 6,000 radiosurgery procedures (one of the few to have a very extensive experience with almost all radiosurgery technologies such as Gamma Knife, Cyberknife and LINAC).

Dr. V P Singh

With about 43 years of experience, Dr V. P. Singh’s competence spans all facets of neurosurgery - cranial, spinal and peripheral nerves. Dr. Singh has special interest in brain tumor surgery, cerebrovascular surgery, epilepsy surgery and radiosurgery. He has operated over 400 intracranial aneurysms and is actively involved in the treatment of arteriovenous malformations by radiosurgery techniques. Dr. VP Singh is credited with starting the Gamma Knife Unit and epilepsy surgery program at New Delhi’s All India Institute of Medical Sciences, where he was Additional Professor and Unit Head of Neurosurgery.

Dr. Sudhir Dubey

Dr. Sudhir Dubey graduated from King George’s Medical College with “Sir Rupkishan Das Gold Medal” in final year MBBS. He trained in Neurosurgery from National Institute of Mental Health and Neurosciences and was awarded the “Silver Jubilee Award”. His cutting edge work on “brain tumor” was awarded internationally at Sydney, Australia in 2001. He is first and till now the only person from India awarded “Young Neurosurgeon’s Award” conferred by World Federation of Neurosurgical Societies.

Dr. Rana Patir

Dr. Rana Patir, MS (General Surgery), MCh (Neurosurgery), Fellowship in Neurosurgery (UK), is an eminent Neurosurgeon of India with more than 32 years of experience in the field of advanced Neurosurgery. He is Chairman - Department of Neurosurgery at Fortis Memorial Research Institute, Gurugram. He specialises in Minimal Invasive Brain and Spine Surgery, Skull Base Surgery, Neurovascular surgery, Extra Cranial-Intracranial Bypass Surgery, Paediatric Neurosurgery and Epilepsy Surgery. He has more than 10,000 neurological procedures to his credit.

Prof. (Col) Dr. Bipin Walia

Prof. (Col.) Dr. Bipin Walia, a neurosurgery specialist with over 25 years of experience, is a postgraduate teacher with expertise in motion preserving surgery, including disc replacement. He holds MBBS, MS, and M. Ch degrees from Armed Forces Medical College and All India Institute of Medical Sciences.

Dr. Arun Saroha

With more than 20 years of experience in Neurosurgery, Dr. Arun Saroha has an expertise in treating brain & spine disorders like Degenerative Spine Disorders, Brain Tumors, Disc Replacements, Paediatric Neurosurgeries and many more. Prior to joining Max Healthcare he was associated as Head-Neurosurgery at Artemis Hospital, Gurgaon. So far he has performed more than eight thousand surgeries successfully.

Factors Affecting Affordable trigeminal neuralgia surgery India

In addressing whether surgery is affordable in case of trigeminal neuralgia (Microvascular Decompression, Percutaneous Rhizotomy, or Gamma Knife/CyberKnife), it all depends on a number of factors that are interconnected:

  • Type of Surgery Selected
  • Hospital Category
  • Surgeon’s Fees & Experience
  • City of Treatment
  • Hospital Stay Duration
  • Technology Used
  • Post-Surgery Care & Complications
  • International Patient Services

Affordable trigeminal neuralgia surgery India by GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

  • Complete transparency
  • Fair costs.
  • 24 hour availability.
  • Medical E-visas
  • Online consultation from recognized Indian experts.
  • Assistance in selecting India's top hospitals for Trigeminal Neuralgia surgery.
  • Expert neurosurgeon with a strong track record of success
  • Assistance during and after the course of treatment.
  • Language Support
  • Travel and Accommodation Services
  • Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
  • Local SIM Cards
  • Currency Exchange
  • Arranging Patient’s local food

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