'small teflon pledget'

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.

Pituitary Tumors - Surgery for tumors arising from the pituitary gland . the pituitary gland lies at the base of the brain in a small bony impression called as the sella. The pituitary gland is responsible for the overall control of hormones regulating the various bodily functions ( thyroid, adrenals, gonads-ovaries & testes). Tumors arising from the pituitary gland can present with hormonal disturbances, eyesight problems (reduction in visual field)and other non-specific problems like headaches or giddiness. All these problems can arise slowly or may manifest suddenly due to bleeding inside the pituitary gland( pituitary apoplexy). Surgery is needed for tumors which are not responsive to medications or if the tumor is causing pressure on the optic nerves giving rise to visual problems. Surgery for pituitary adenomas is most commonly performed through the nostril with an endoscope or microscope. Patients need hospital stay for 4-5 days approximately. close monitoring of hormones is required in the post operative period.