Diagnosis and treatment of glossopharyngeal neuralgia
نویسندگان
چکیده
Background: Glossopharyngeal neuralgia (GPN) is a rare type of cranial nerve rhizopathy that accounts for roughly 1% trigeminal cases and presents as extreme neuralgic pain in the ipsilateral deep throat, tongue base, or ear. Pain usually intense electric shock-like, occurring either without warning triggered by swallowing. The purpose this article to provide comprehensive review diagnosis treatment GPN differentiate it from neuralgia.Current Concepts: In review, our experiences, including misdiagnosis diagnostic pitfalls, are presented detail. Treatment with microvascular decompression (MVD) has success rate over 90%. use “off-the-root entry zone” MVD, which eliminates need an adjuvant rhizotomy, best GPN. addition, although gamma knife radiosurgery categorized destructive procedure, can still be another option if patient ineligible MVD.Discussion Conclusion: Practitioners must consider when diagnosing patients rhizopathy; should distinguished other syndromes, especially neuralgia. With accurate diagnosis, appropriate plan developed.
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متن کاملGlossopharyngeal neuralgia.
CASE This 60-year-old woman presented with an 11-year history of severe throat pain recurring approximately every couple of years lasting for about 3 months. The current episode had been present for 5 weeks, the prior episode occurred over 1 year previously. She described an electrical pain with an intensity of 10 of 10 felt in the left throat around the tonsillar area sometimes shooting to the...
متن کاملGlossopharyngeal neuralgia.
Glossopharyngeal neuralgia is a distinctive syndrome, named by Wilfred Harris. Investigation must exclude multiple sclerosis, and local compression, especially by tumours which require treatment. Dandy deserves credit for first indicating vascular compression of cranial nerve roots as a cause of cranial neuralgias, and Jannetta for establishing neurovascular decompression. Vascular compression ...
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ژورنال
عنوان ژورنال: Journal of The Korean Medical Association
سال: 2023
ISSN: ['1975-8456', '2093-5951']
DOI: https://doi.org/10.5124/jkma.2023.66.1.19