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Verbesserung der Diagnostik und Therapie der Glossopharyngeusneuralgie

Improvement of diagnosis and treatment of glossopharyngeal neuralgia

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Zusammenfassung

Die diagnostische Einordnung von Neuralgien der Hirnnerven und Gesichtschmerzen kann schwierig sein. Im Vergleich zur Trigeminusneuralgie ist die Glossopharyngeusneuralgie sehr selten und wenig bekannt. Die idiopathische Glossopharyngeusneuralgie kann gemeinsam mit neurovaskulären Kompressionssyndromen der Nn. vagus und trigeminus auftreten. Eine hochauflösende Magnetresonanztomographie (MRT) des Hirnstamms mit 3D-Visualisierung ermöglicht die sichere Diagnose einer neurovaskulären Kompression und die Planung einer mikrochirurgischen Dekompression nach Jannetta.

Abstract

Differential diagnosis of neuralgias affecting the cranial nerves and of facial pain is often difficult. Glossopharyngeal neuralgia is much less common than trigeminal neuralgia and is not well known. Idiopathic neuralgia of the glossopharyngeal nerve sometimes occurs in association with neurovascular compression syndrome of the vagus and trigeminal nerves. High-resolution MRI of the brain stem with three-dimensional visualization allows a secure diagnosis of neurovascular compression and is useful in the planning of appropriate microsurgical decompression (Jannetta’s operation).

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Interessenkonflikt

Der korrespondierende Autor erhält Honorare für Referententätigkeit und Reisekostenübernahmen durch die Janssen-Cilag GmbH und Berlin-Chemie AG.

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Authors and Affiliations

  1. Klinik und Poliklinik für Neurologie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Straße 40, 06097, Halle (Saale), Deutschland

    C. Gaul

  2. Klinik für Anästhesiologie und operative Intensivmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland

    C. Gaul & A. Duncker

  3. Neurochirurgische Klinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland

    P. Hastreiter & R. Naraghi

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  1. C. Gaul
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  2. P. Hastreiter
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  3. A. Duncker
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  4. R. Naraghi
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Correspondence to C. Gaul.

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Gaul, C., Hastreiter, P., Duncker, A. et al. Verbesserung der Diagnostik und Therapie der Glossopharyngeusneuralgie. Schmerz 22 (Suppl 1), 41–46 (2008). https://doi.org/10.1007/s00482-007-0615-7

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  • DOI: https://doi.org/10.1007/s00482-007-0615-7

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