MVD surgery for Hemifacial Spasms

Posted by skullzmarie @skullzmarie, Apr 27, 2017

I just recently had microvascular decompression (MVD) for hemifacial spasms. Tomorrow will be 1 week post-op. I have been told to expect nausea and dizziness because of the part of the brain where the surgery is performed. Surgery went well with no complications. I'm struggling with continued nausea and vomiting when I eat. Yesterday, I was diagnosed with a UTI after having a yoyoing fever, cold chills, hot sweats, and tremors (we believe the tremors are stress induced from surgery). I had a complete work up and was given nausea meds and antibiotics. I had nausea but was able to hold food down yesterday for the first time. The nausea meds made me sick last night. Today, I have taken my pain medication only once. But I am concerned about the vomiting. I plan on speaking with the neurosurgeon tomorrow about the continued vomiting. Today, I have noticed a change in taste. My meds taste normal than wierd. My lunch tasted normal at first then it begain to taste off. This evening, I noticed I will occasionally taste the saline solution that was used to flush my IV. I'm wondering what others have experienced. How long does the nausea and vomiting last for most people? What side effects have you had? I'm so frustsrated and ready to complete this recovery. Please, please, share your experience with me. I'm starting to wonder if the surgery was really worth it...the way that I'm feeling. Thank you for your time.

Interested in more discussions like this? Go to the Brain & Nervous System Support Group.

@dazedandconfused1030 Welcome to Mayo Clinic Connect. You are having multiple complications after MVD surgery on October 30th. Your surgeon says there is nothing more he can do and you are looking to connect with others that have experienced something similar.

You will see that I have moved your question into a discussion where members have previously discussed MVD surgery. I did this so you could more quickly connect and get support. You will notice members like @jmh @michelles123 have experience with this topic and may be a good resource for you.

Below I have also linked another previous discussion on the topic.

- Want to connect with people who have Coronary Microvascular Disease (MVD) https://connect.mayoclinic.org/discussion/hi-i-have-joined-this-group-in-the-hope-of-connecting-with/

I encourage you to scroll back through the comments in both discussion to find previously shared suggestions.

I also suggest joining the Spine Health group and looking at previous discussions and posts there. I have the group linked below.

- Spine Health https://connect.mayoclinic.org/group/spine-health/

I'm wondering if you have an internal medicine provider and/or a primary care provider and if so, what they have suggested?

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I had Microvascular decompression surgery for trigemina lneuralgia on my right side, I still have it on my left side. I did call my PCP on Friday as the doctor in hospital said to do when they discharged me on the 24th to follow up for a potassium recheck but she wouldn't see me. I think I need a new doctor.

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@dazedandconfused1030

I had Microvascular decompression surgery for trigemina lneuralgia on my right side, I still have it on my left side. I did call my PCP on Friday as the doctor in hospital said to do when they discharged me on the 24th to follow up for a potassium recheck but she wouldn't see me. I think I need a new doctor.

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Hello @dazedandconfused1030

I'm really sorry to hear about your post-surgery problems.
Yes, from what you have said a new doctor might be in order right now. It is always your right to get a second opinion and to seek another primary care doctor if you can't see your current doctor. Also, please connect with the other two discussion groups that Erika, @erikas, mentioned in her post above. As you read what others have to say in those groups feel free to post a question or post a comment on your own situation.

From what you said in your first post, it sounds like memory and double vision are the most significant problems right now. Is that correct? Have you thought about seeing an ophthalmologist in order to check out the double vision problem? That might be a good place to begin until you have an appointment with a new primary care doctor. Also, since your potassium is out of kilter, perhaps an endocrinologist would also be a good next step. I have personally found that a good endocrinologist is an excellent person to put together puzzling pieces of health problems. They can often come up with an answer in a way a more generalized physician cannot. My internist calls an endocrinologist "the internist's internist." That is quite a compliment.

I look forward to hearing how you are doing. Will you post again?

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Has anyone had this surgery and how long did it take to recover.?

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@mindystapp

Has anyone had this surgery and how long did it take to recover.?

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Hello @mindystapp and welcome to Mayo Clinic Connect. You will notice that I have moved your post into an existing discussion on surgery for hemifacial spasms to allow you to connect with members such as @triciasc @michelles123 and @lamerex4 who have all previously shared about their experiences in this discussion and who may be able to come back and give an update on their journey.

In the meantime, can you share a little more about where you are at with your hemifacial spasms?

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@hopeful33250

Hello @dazedandconfused1030

I'm really sorry to hear about your post-surgery problems.
Yes, from what you have said a new doctor might be in order right now. It is always your right to get a second opinion and to seek another primary care doctor if you can't see your current doctor. Also, please connect with the other two discussion groups that Erika, @erikas, mentioned in her post above. As you read what others have to say in those groups feel free to post a question or post a comment on your own situation.

From what you said in your first post, it sounds like memory and double vision are the most significant problems right now. Is that correct? Have you thought about seeing an ophthalmologist in order to check out the double vision problem? That might be a good place to begin until you have an appointment with a new primary care doctor. Also, since your potassium is out of kilter, perhaps an endocrinologist would also be a good next step. I have personally found that a good endocrinologist is an excellent person to put together puzzling pieces of health problems. They can often come up with an answer in a way a more generalized physician cannot. My internist calls an endocrinologist "the internist's internist." That is quite a compliment.

I look forward to hearing how you are doing. Will you post again?

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I have one MVD for TN with facial spasms. Got complete relief but the horrible symptoms returned eight months later. I then had a second MVD and again, I achieved complete relief but I had a recurrence exactly eight months later
So I had gamma knife surgery with excellent relief and had a recurrence ten months later.
I know have a hydro morphine pain pump with catheter ending in C3 to get directly in my brain
My doctors call my TN intractable but to me the MVD was the best in achieving relief
The problem is that it did not last
Recovery after the second one was a lot easier than the first one abd I was out of the hospital in four days
I also had some electrolyte imbalance but it all gets better
If you only have the facial spasms no TN I would think it will help
My facial spasms were severe. I could not put two words together. Had to use a dry erase pad to comunícate
The surgery lasts four hours but there is no pain in the incision
I had my surgery at St Luke’s hospital in Houston abd my sweet great neurosurgeon was Dr Viishwanatan
The very best
It was not his fault that I had
Recurrence. It’s the severity of my disease
Good luck to you!

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I see there has been no more discussions on this rate disorder called Hemifacial spasms since Sept 2021. Is there anyone out there who’s had Botox complications for hemifacial spasms? My neurologist said the small amounts injected over the last year every 4 months, seem to be spreading and causing stiffness on one side of my face. The Botox doesn’t relieve the spasms completely but does give some relief. Anyone have my problem?

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