'blood vessels'

Trigeminal neuralgia or 'Tic Doloreaux' also infamously called as suicide disease, is a disorder affecting the Trigeminal nerve as it exits the brainstem.The disease is many times erroneously attributed to dental pain and many patients undergo multiple dental extractions before they are diagnosed correctly. Trigeminal Neuralgia can be treated by medicines and not all patients may require surgery at the outset. The problem starts only when more doses of the drugs are needed and patients are unable to tolerate the adverse effects of drugs , is surgery advised. The surgery involves placing a small teflon pledget under the offended nerve so that it is not compressed by the blood vessel. This offers almost immediate, complete and long lasting relief where the patients are completely free of medications and more importantly pain.

Trauma or injury to the skull or spinal cord occurs most commonly due to vehicular accidents. Other reasons for injuries remain fall from height, fall of heavy object over the body or any cause we attribute as accidental. The injuries to brain and spine can be minor , major or critical which will necessitate urgent intervention. Surgery for such Brain injuries is required only under special circumstances like open fractures, blood clots or large swelling of the brain lobe. Surgery is spinal injuries is required if there is fracture , dislocation or imminent threat to limb function. The neurosurgeon is best trained to determine the need for such surgeries and also timing them so as to minimise damage and ensure recovery.

Surgery for problems arisng from diseases affecting the blood vessels of the brain. common problems are bleeding secondary to aneurysmal hemorrage, infarcts caused by narrowed neck vessels, Moya moya disease.