Abstract
The International Headache Society Guidelines define glossopharyngeal neuralgia as a “severe transient stabbing pain experienced in the ear, base of the tongue, tonsillar fossa, or beneath the angle of the jaw” [25]. The glossopharyngeal nerve serves autonomic, motor, and sensory functions; compromise of this nerve along its course can cause neuralgia. Compression by blood vessels and tumors are known to cause this condition. Glossopharyngeal neuralgia affects adults and can be mistakenly diagnosed as trigeminal neuralgia, but tests can be used to differentiate these conditions. Treatment consists mainly of pharmacologic management, but surgical procedures can be used to treat medically refractory cases.
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Recommended Reading
Blumenfeld A, Nikolskaya G. Glossopharyneal neuralgia. Curr Pain Headache Rep. 2013;17:1–8.
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalgia. 2004;24:6–160.
Rey-Dios R, Cohen-Gadol AA. Current neurosurgical management of glossopharyngeal neuralgia and technical nuances for microvascular decompression surgery. Neurosurg Focus. 2013;43:E8.
Martinez-Alvarez R, Martinez-Moreno N, Kusak ME. Glossopharyngeal neuralgia and radiosurgery. J Neurosurg. 2014;121:222–5.
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Choi, D.B., Doberstein, C.A., Aghion, D.M., Asaad, W.F., Doberstein, C.E. (2017). Glossopharyngeal Neuralgia in the Rehabilitation Patient. In: Carayannopoulos DO, MPH, A. (eds) Comprehensive Pain Management in the Rehabilitation Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-16784-8_65
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