Sandy
I have read your small novel with much interest and absolute amazement.
You do not say what this procedure was that seems to have cleared up your supposed GPN pain, if it ever was GPN in the first place. Perhaps there has been a misdiagnosis here, given how little your supposed 'Famous' Neurological Hospital have in terms of experience and knowledge of GPN. They might be 'famous' for TN but sound absolutely ignorant of advances elsewhere in GPN pain relief. To tell you there are no recorded cases of successful GPN MVD's is laughable. I can only laugh as I have had a successful MVD for GPN, and laughing was impossible prior, BECAUSE of the GPN!!
I invite your so-called 'big' team of Neurologists to contact Mr Martin Hunn at Wellington Regional Hospital, New Zealand and mention my name (Michael Turner) who was successfully decompressed for GPN in June 2005!!
It is my understanding that Mr Hunn has not seen any other cases of GPN since, so it wont be a stretch for him to confirm even after 10 years.While it may be true there are no published medical journals on MVD for GPN, DOESN'T LOGICALLY FOLLOW IT DOESN'T WORK OR HASN'T BEEN DONE. The Neuros you have consulted have NOT done research into this, from what I gather in your sad account, and to say it irks is an understatement.
Feel free to point out my story, which is actually NOT a story, but a factual account of events, and then have them tell you there are no successful outcomes for GPN through MVD. I am prepared to sign an affidavit to it.
Actually, the procedure was so successful, I ended up working in Theatre WITH Mr Hunn as an Anaesthetic Technician (UK equivalent is known as an OPD) so I will not hear anything such as you have been told.
The behaviour and attitude of this team of Neurologists defies belief, if your account is accurate, and sounds as though its bordering on malpractice! Perhaps your next stop should be a legal consult NOT a Neurological one.
This 'resetting' of the Glossopharyngeal Nerve as related to you by a supposed Neurologist is laughable. I suspect this statement reveals the depth of their knowledge of this rare and little understood, condition (well clearly in the UK at least).
Just as an aside: what is 3mg of Tegretol going to do exactly? That dose is very small and I find it hard to believe it would have ANY effect on GPN pain. I was on 1200mg per DAY! Any weaning off Tegretol (Carbamazepine) can be done over a series of days.
I do hope you are pain free and it is my belief you didnt have GPN in the first place at all...but if you did and the symptoms return in Winter (as cool air temperatures below 10c have shown to cause Vasoconstriction as in my case) I suggest you consult a young Neurosurgeon who wants to make a name for himself, and have him/her contact me or Mr Hunn directly. I have his permission to use his name and he is happy to talk to any other surgeon on the technique.
useridsandy said:
HELLO AGAIN,
IN REPKY, I WAS ON MORE OR LESS TGE SAME TEGRETOL DOSESGE AS YOURSELF, AND AM NOW ON 3mg a day. As you know I was thinking of trying to obtain an Mvd but all the neurologists at the hospital I attended told me firstly that there has never been a sucessfuk outcome from an Mvd for GN. Whereas there for TN. When I disputed this because if the sduscussions I have read on this web site the neurosurgeons at this famous neurological hospital I attended said I was mistaken and there exists no published medical papers on this. Hence my previous discussions with you to find out which neurosurgeon in the UK you were to use for your MVD. The reason I write this is to explain that since then I have had another operation for something different and for some reason since then have suffered no GN pains. SpSO HAVE SLOWLY REDUCED MY TEGRETOL LEVELS FROM THE LEVELS YOU WERE ON TO ONLY 3 MG A DAY. INTERESTING THE NEUIRISURGEONS AT THIS FAMOUS NEUROLIGICAL HOSPITAL HAVE TOLD ME THAT THEY SUSPECT 2THINGS COUKD HAVE HAPPENDED. THE FIRST BEING THAT THERE IS RESEARCH EXISTING WHICH SHOWS ANEASTHETIC BY SWITCHUNG OFF THE BRAIN IN A WAY NO ONE YET REALLY KNOWS HOW OR WHAT HAPPENS TO US, HAS "RESET" the GN nerve for me. 2. MY BLOOD PRESSURE IS LESS SINCE THAT OP. AND BECAUSE I HAVE A COMPRESSION ON THE GN NERVE OF AN ATRERY , BY REDUCING MY BLOOD PRESSURE THIS HAS REDUCED THE PRESSURE ON MY GN NERVE AS THERE IS RESAERCH PAPERS SHOWING THIS CAN HAPPEN. I AM AWARE I MAY JUST BE IN A PERIOD OF REMISSION. I WAS TOLD TO REDUCE MY TEGRETOLVERY SLOWLY ( much slower than you have done) and if any pains occur to increase TEGRETOL immediately again. During this time I have suffered very bad headaches. By very bad I really mean terrible disabling headaches. I have found having a cup of sweet coffee does after about an hour or so slowly lift these on many occasions. As stated I am now on only 3 Mg TEGRETOL a day now. I will take another month to reduce my TEGRETOL to 2MG A DAY PROVIDED THE GN PAINS DO NOT RETURN. THEN TAKE ANOTHER 3mimths to reduce another 1 MG. I WONDERED FROM YOUR POSTS IF YOUR MVD HAS NOT IN FACT WORKED AND IN FACT IF THE NEUIRIDURGEINS I HAVE SEEN IN THE UK WERE IN FACT RIGHT, THAT IS NO ONE HAS HAD A REALLY SUCCESSFUK MVD FOR GN AS OPPOSSED TO THE HUNDREDS WHO HAVE HAD FOR TN. I WOUKD. ADD THE BIG TEAM OF NEUROSURGEONS I HAVE SEEN HAVE TOLD ME THAT AS THEY THOUGHT I WOUKD BE THE ONLY PERSON THEY WOUKD SEE IN THEIR LIGR TIMES , WHO HAS GN, AS GN IS SO RARE . AS AGAINST THE HUNDREDS THEY SEE WITH TN, ALL OF THEM HAVE EXPERIENCE OF CARRYING OUT SUCCESSFUK MVDS FOR TN BUT NO ONE HAS OF MVDS FOR GN. SO IT WOUKD BE FAR TOO DANGEROUS FOR THEM TO GIVE ME AN MVD FOR GN NLESS I SUFFER PERMANENT SEVERE GN PAIN IN WHICH CASE ONLY AT THAT POINT WILL THEY THINK ABOUT TRYING TO GIVE ME AN MVD FOR GN. THEY HAVE ALSO SAID THAT RESEARCH SHOWS THAT A NERVE BLOCK IF THE GN NERVE APCAN PERMANENTLY STOP GN PAIN AS IT CAN DO FIR OTHER NERVE PAIN, BUT THAT INVE AGAIN NONE F THEM HAVE ANY EXPERIENCE OF DOING THIS FOR GN. WNEREAS THEY HAVE FOR TN . AND THAT BEVAUSE THE GLOSDO. NERVE LIES NEXT TO FAR DANGEROUS STRUCTURES IN THE THROAT AND NECK , IT WOUKD BE TOO DANGEROUS FOR ME TO HAVE THIS. SO CNSIDERING THE ADVICE THIS TEAM OF NEUROSURGEONS AT THIS FAMOUS UK NEOUROLGICAL HOSPITAL HAVE GIVEN ME WHICH IS AT ODDS FROM WHAT YOUR NEUROSURGEON HAS SAID AND DONE TO YOU, ITS IMPOSSIBLE TO KNOW WHICH NEUROSURGEON IS RIGHT. WHATDOES YOUR NEUROSURGEON TELLING YOU ABOUT BOTH THE SUCESS OR NIT OF YOUR MVD FOR GN AND HOW YOU SHOUKD GO ABOUT REDUCING YOUR TEGRETOL GIVEN OF COURSE IT TAKES TIME TO BUILD UP TEGRETOL IN YOUR SYSTEM IF IN FACT YOUR GN PAINS GET WORSE AGAIN? If you telephone Novartis who make TEGRETOL they may be able to advise you. I do so hope you have had a SUCCESSFUK MVD FIR GN, AND THAT THE NEIRISURGEINS I HAVE SEEN ARE WRONG AND THAT YOU ARE ABLE TO REDUCE YOUR DOES OF TEGRETOL YOU TAKE WITHOUT SUFFERING MORE ADVERSE EFFECTS AND PAIN. MUCH LOVE TO YOU. PLEASE LET ME KNOW YOUR PROGRESS