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Glossopharyngeal Neuralgia

Levent Tanrikulu, Michael Buchfelder, Ramin Naraghi
AIM: There is a feared complication for cerebrospinal fluid (CSF) leakage after microvascular decompression (MVD). In this study we present our experience of fleece-bound tissue sealing in MVD with our aim to minimize the rate of postoperative CSF leakage. MATERIAL AND METHODS: We treated 50 patients (female/male: 26/24) with neurovascular compression (NVC) syndromes (trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia) by MVD from the year 2003 to 2006...
April 20, 2016: Turkish Neurosurgery
Kentaro Watanabe, R Shane Tubbs, Shunsuke Satoh, Ali R Zomorodi, Wolfgang Liedtke, Moujahed Labidi, Allan H Friedman, Takanori Fukushima
: Glossopharyngeal, nervus intermedius and vagus neuralgias can all present with ear pain. However, to our knowledge, there have been no reports of otalgia as the only symptom of vagus neuralgia. The seventh, ninth and tenth cranial nerves have many interneural connections and the exact anatomy and pathophysiology of these neuralgias is often not clear. Moreover, symptoms due to involvement of any of these nerves can be difficult to attribute solely to one of them. The overlapping sensory innervation of the external auditory canal can lead to misdiagnosis in patients suffering from otalgia...
September 1, 2016: World Neurosurgery
Jesse D Lawrence, Chad Tuchek, Aaron A Cohen-Gadol, Raymond F Sekula
OBJECTIVE Use of the ICU during admission to a hospital is associated with a significant portion of the total health care costs for that stay. Patients undergoing microvascular decompression (MVD) for cranial neuralgias are routinely admitted postoperatively to the ICU for monitoring. The primary purpose of this study was to compare complication rates of patients with and without a postoperative ICU stay following MVD. The secondary intents were to identify predictors of complications, to analyze variables of health care resource utilization, and to estimate the cost of postoperative management...
August 12, 2016: Journal of Neurosurgery
Serhat Yaslikaya, Cigdem Firat Koca, Yuksel Toplu, Ahmet Kizilay, Nusret Akpolat
Osteoma is a benign, mesenchymal, slow-growing, osteogenic tumor commonly occurring in the craniofacial bones and is characterized by the proliferation of compact or cancellous bone. Solitary osteomas can be classified as peripheral (parosteal, periosteal, or exophytic) when arising from the periosteum or central (endosteal) when arising from soft tissue. Peripheral osteoma occurs most frequently in the paranasal sinuses. Other locations include the orbital wall, temporal bone, pterygoid processes, external ear canal, and, rarely, the mandible...
June 25, 2016: Journal of Oral and Maxillofacial Surgery
Chengyuan Wang, Summit Kundaria, Juan Fernandez-Miranda, Umamaheswar Duvvuri
OBJECTIVES/HYPOTHESIS: To illustrate detailed anatomy of the extracranial portion of the glossopharyngeal nerve in the parapharyngeal space as encountered during transoral surgery. STUDY DESIGN: Prospective cadaveric dissection. All dissections were performed transorally and confirmed with transcervical dissection. METHODS: Eight color-injected cadaveric heads (16 sides) were dissected to demonstrate the course and anatomy of the glossopharyngeal nerve...
September 2016: Laryngoscope
Jiri Bartek, Sasha Gulati, Geirmund Unsgård, Clemens Weber, Petter Förander, Ole Solheim, Asgeir S Jakola
OBJECTIVE: To investigate frequencies of adverse events occurring within 30 days after microvascular decompression (MVD) surgery using a standardized report form of adverse events. METHODS: We conducted a retrospective review of 98 adult patients (≥16 years) treated with MVD between 1 January 1994 and 1 June 2013. Adverse events occurring within 30 days were classified according to the Landriel Ibanez classification for neurosurgical complications: grade I represents any non-life threatening complication treated without invasive procedures; grade II is complications requiring invasive management; grade III is life-threatening adverse events requiring treatment in an intensive care unit (ICU); grade IV is death as a result of complications...
September 2016: Acta Neurochirurgica
Rogelio Revuelta-Gutiérrez, Andres Humberto Morales-Martínez, Carolina Mejías-Soto, Jaime Jesús Martínez-Anda, Luis Alberto Ortega-Porcayo
BACKGROUND: Glossopharyngeal neuralgia (GPN) is an uncommon craniofacial pain syndrome. It is characterized by a sudden onset lancinating pain usually localized in the sensory distribution of the IX cranial nerve associated with excessive vagal outflow, which leads to bradycardia, hypotension, syncope, or cardiac arrest. This study aims to review our surgical experience performing microvascular decompression (MVD) in patients with GPN. METHODS: Over the last 20 years, 14 consecutive cases were diagnosed with GPN...
2016: Surgical Neurology International
Yoshihiko Kumai, Tadashi Hamasaki, Eiji Yumoto
Eagle's syndrome (ES) and glossopharyngeal neuralgia (GPN) display very similar symptoms preoperatively. The objective of this study is to determine the surgical outcome of intraoral resection of the styloid process (IRSP) for ES, and to observe preoperative findings and treatment outcome of our cases presenting shooting craniofacial pain. In total, 14 symptomatic patients who presented with typical shooting craniofacial pain, had a styloid process longer than 25 mm, and underwent surgical intervention or medication alone from 2011 to 2015 were involved...
October 2016: European Archives of Oto-rhino-laryngology
Laura Burfield, Faheem Ahmad, Jacqueline Adams
Glossopharyngeal neuralgia is a rare pain syndrome presenting with paroxysms of pain in the region of the glossopharyngeal nerve. Even more uncommon is the association between glossopharyngeal neuralgia and cardiac syncope. In these patients, the cardiovascular consequences may include bradycardia, hypotension and cardiac arrest. We describe the case of a 40-year-old patient who presented with this rare association of glossopharyngeal neuralgia and syncope. Multiple pauses including one lasting 14 s were noted on ambulatory ECG monitoring...
2016: BMJ Case Reports
Lujain Homeida, Sophia Elmuradi, Thomas P Sollecito, Eric T Stoopler
Orofacial pain disorders can present as a diagnostic and therapeutic challenge for oral health care providers. Odontogenic and nonodontogenic sources of orofacial pain should be considered and cranial neuralgias may be included in the differential diagnosis. Synchronous presentation of multiple cranial neuralgias is a rare occurrence. We report a case of a patient with a synchronous presentation of trigeminal, glossopharyngeal, and geniculate neuralgias. To our knowledge, this is the first case of a synchronous presentation of these conditions reported to date...
June 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
S Haller, L Etienne, E Kövari, A D Varoquaux, H Urbach, M Becker
Neurovascular compression syndromes are usually caused by arteries that directly contact the cisternal portion of a cranial nerve. Not all cases of neurovascular contact are clinically symptomatic. The transition zone between the central and peripheral myelin is the most vulnerable region for symptomatic neurovascular compression syndromes. Trigeminal neuralgia (cranial nerve V) has an incidence of 4-20/100,000, a transition zone of 4 mm, with symptomatic neurovascular compression typically proximal. Hemifacial spasm (cranial nerve VII) has an incidence of 1/100,000, a transition zone of 2...
August 2016: AJNR. American Journal of Neuroradiology
Yasushi Motoyama, Ichiro Nakagawa, Tsunenori Takatani, Hun-Soo Park, Yukiko Kotani, Yoshitaka Tanaka, Pritam Gurung, Young-Soo Park, Hiroyuki Nakase
BACKGROUND: Glossopharyngeal neuralgia (GN) is a rare functional disorder representing around 1% of cases of trigeminal neuralgia. Lancinating throat and ear pain while swallowing are the typical manifestations, and are initially treated using anticonvulsants such as carbamazepine. Medically refractory GN is treated surgically. Microvascular decompression (MVD) is reportedly effective against GN, superseding rhizotomy and tractotomy. METHODS: We encountered three patients with medically refractory GN who underwent MVD using intraoperative neurophysiological monitoring (IONM)...
2016: Surgical Neurology International
Yasushi Motoyama, Yoshitaka Tanaka, Pritam Gurung, Ichiro Nakagawa, Young-Soo Park, Hiroyuki Nakase
BACKGROUND: During microscopic procedures for neurovascular disease, we sometimes encounter kinking of arterial branches resulting in ischemic sequelae. A simple and useful technique that involves inserting a small, ball-like prosthesis made of oxidized cellulose or shredded Teflon with fibrin glue that corrects the arterial branch kinking and avoids subsequent compromise is reported. METHODS: Between January and December 2014, three patients developed arterial kinking during microscopic procedures, including two in the caudal loop of the posterior inferior cerebellar artery during microvascular decompression for glossopharyngeal neuralgia and one in a branch of the middle cerebral artery (MCA) during clipping for an unruptured MCA aneurysm...
2016: Surgical Neurology International
Yasir Malik, Javeed Ahmed Dar, Abubaker Abdul Rahman Almadani
Onset of epilepsy can occur at any age, but it is relatively rare in the elderly. Late onset epilepsy is usually secondary to stroke, tumour, trauma or neurodegenerative disorders. A 62-year-old Indian woman presented with frequent drop attacks sometimes leading to unconsciousness and, rarely, associated with seizure. Her epilepsy work up was unremarkable. As the disease progressed, she was diagnosed as having idiopathic epilepsy, syncope or pseudo-seizure, on different occasions, and was treated at length with no response...
2015: BMJ Case Reports
W Luo, Y Zhang, J Lin, M Wang, G Luo
No abstract text is available yet for this article.
December 2015: Journal of Neurosurgical Sciences
France Héroux, David Mathieu
No abstract text is available yet for this article.
September 2015: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
Yi Ma, Yan-Feng Li, Quan-Cai Wang, Bin Wang, Hai-Tao Huang
OBJECTIVE: The object of this study was to investigate the immediate and long-term follow-up results of glossopharyngeal nerve rhizotomy (GPNR) with or without partial vagus nerve rhizotomy (VNR) for treating glossopharyngeal neuralgia (GPN). METHODS: A retrospective review of the case notes of patients who had undergone surgery for GPN in the authors' department between 2008 and 2013 was performed to investigate baseline characteristics and immediate outcomes during the hospitalization...
April 2016: Journal of Neurosurgery
William P Cheshire
PURPOSE OF REVIEW: Pain arising from cranial neuralgias represents a significant health burden. Successful treatment depends on accurate diagnosis, which requires knowledge of neuroanatomy and pathophysiology as well as familiarity with the varied clinical presentations encountered in neurologic practice. This article delineates the relevant anatomy, clinical features, and management of the most common primary and secondary cranial neuralgias. RECENT FINDINGS: Trigeminal neuralgia, which can result from neurovascular compression or demyelination, is a particularly severe form of facial pain...
August 2015: Continuum: Lifelong Learning in Neurology
Nan-Xiang Xiong, Daisong Tan, Peng Fu, Hong-Yang Zhao
Gamma knife surgery (GKS) is now used as a treatment option for glossopharyngeal neuralgia (GPN). Most authors have selected the distal part of the nerve as the gamma knife target. Here we report on 3 patients with medically intractable GPN who were treated with GKS. All 3 patients had a single shot with a 4-mm collimator which was used to deliver 80 Gy to the 100% isodose line. The GKS targets were the medial cisternal segments of the glossopharyngeal nerve. Patients were investigated prospectively, treated, and then assessed periodically with respect to pain relief and neurological function...
2015: Stereotactic and Functional Neurosurgery
Naokado Ikeda, Hiroki Toda, Misaki Yamamoto, Shin-Ichi Kanemaru, Masatsune Ishikawa, Koichi Iwasaki
BACKGROUND: A surgical procedure for glossopharyngeal neuralgia (GPN) was selected from microvascular decompression, glossopharyngeal and upper vagal rhizotomy, or a combination of these procedures based on the presence of arteries compressing the glossopharyngeal and vagal rootlets. The offending artery is usually a main trunk or branch of the cerebellar arteries. A perforating artery is a known but uncommon variation of the offending artery that causes GPN. The appropriate procedure for such cases is unknown...
September 2015: Neurosurgery
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