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Glossopharyngeal Nerve Entrapment

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Peripheral Nerve Entrapments

Abstract

Glossopharyngeal nerve (GN) is the ninth cranial nerve, with a short course from the jugular foramen to the ear and throat. It carries sensory, motor, and autonomic fibers. Glossopharyngeal neuralgia (GPN) is a rare disorder, with patients usually complaining about short paroxysms of pain at the ear, tonsils, throat, and jaw. Swallowing, chewing, or talking usually provokes this potentially severe GPN pain. The diagnosis of idiopathic GPN is mainly based on the patient’s history, clinical symptoms and exclusion of other pathology. It is verified by diagnostic injection that can be performed either at the styloid level or at the tonsillar fossa. Once the diagnosis is confirmed, neurolytic procedures or occasionally open surgery can provide relief.

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References

  1. Weisenburg TH. Cerebellopontine tumour diagnosed for six years as tic douloureux: the symptoms of irritation of the ninth and twelfth cranial nerves. JAMA J Am Med Assoc. 1910;54:1600–4.

    Article  Google Scholar 

  2. Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders. 2nd ed. Cephalalgia. 2004;24 Suppl 1:9–160

    Google Scholar 

  3. Singh PM, Kaur M, Trikha A. An uncommonly common: glossopharyngeal neuralgia. Ann Indian Acad Neurol. 2013;16(1):1–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Shin JH, Herrera SR, Eboli P, Aydin S, Eskandar EH, Slavin KV. Entrapment of the glossopharyngeal nerve in patients with Eagle syndrome: surgical technique and outcomes in a series of 5 patients. J Neurosurg. 2009;111(6):1226–30.

    Article  PubMed  Google Scholar 

  5. Bruyn GW. Glossopharyngeal neuralgia. Cephalalgia. 1983;3(3):143–57.

    Article  CAS  PubMed  Google Scholar 

  6. Bohm E, Strang RR. Glossopharyngeal neuralgia. Brain J Neurol. 1962;85:371–88.

    Article  Google Scholar 

  7. Rossitti SL, Balbo RJ, Sperlescu A. Vagoglossopharyngeal neuralgia. Arq Neuropsiquiatr. 1991;49(1):73–9.

    Article  CAS  PubMed  Google Scholar 

  8. Ozenci M, Karaoguz R, Conkbayir C, Altin T, Kanpolat Y. Glossopharyngeal neuralgia with cardiac syncope treated by glossopharyngeal rhizotomy and microvascular decompression. Europace Eur Pacing Arrhythmias Card Electrophysiol J Work Group Card Pacing Arrhythmias Card Cell Electrophysiol Eur Soc Cardiol. 2003;5(2):149–52.

    Article  CAS  Google Scholar 

  9. Babacan A, Ozturk E, Kaya K. Relief of chronic refractory hiccups with glossopharyngeal nerve block. Anesth Analg. 1998;87(4):980.

    Article  CAS  PubMed  Google Scholar 

  10. Gallacher BP, Martin L. Treatment of refractory hiccups with glossopharyngeal nerve block. Anesth Analg. 1997;84(1):229.

    Article  CAS  PubMed  Google Scholar 

  11. Wallace MS, Leung AV, McBeth MD. Malignant pain. In: Raj PP, editor. Textbook of regional anesthesia. New York: Churchill Livingstone; 2002. p. 572.

    Google Scholar 

  12. Manzoni GC, Torelli P. Epidemiology of typical and atypical craniofacial neuralgias. Neurol Sci. 2005;26(2):S65–7.

    Article  PubMed  Google Scholar 

  13. Katusic S, Williams DB, Beard CM, Bergstralh EJ, Kurland LT. Epidemiology and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgia: similarities and differences, Rochester, Minnesota, 1945–1984. Neuroepidemiology. 1991;10(5–6):276–81.

    Article  CAS  PubMed  Google Scholar 

  14. Eagle WW. Symptomatic elongated styloid process: report of two cases of styloid process – carotid artery syndrome with operation. Arch Otolaryngol. 1949;49:490–503.

    Article  CAS  PubMed  Google Scholar 

  15. Hiwatashi A, Matsushima T, Yoshiura T, Tanaka A, Noguchi T, Togao O, et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression. AJR Am J Roentgenol. 2008;191(2):578–81.

    Article  PubMed  Google Scholar 

  16. Bedder MD, Lindsay D. Glossopharyngeal nerve block using ultrasound guidance: a case report of a new technique. Reg Anesth. 1989;14(6):304–7.

    CAS  PubMed  Google Scholar 

  17. Mollinedo FT, Esteban SL, Vega CG, Orcasitas AC, Maguregi AA. Pulsed radiofrequency treatment in a case of Eagle’s syndrome. Pain Pract. 2013;13(5):399–404.

    Article  PubMed  Google Scholar 

  18. Koyyalagunta D, Burton AW. The role of chemical neurolysis in cancer pain. Curr Pain Headache Rep. 2010;14(4):261–7.

    Article  PubMed  Google Scholar 

  19. Yue WL, Zhang Y. Peripheral glycerol injection: an alternative treatment of children with glossopharyngeal neuralgia. Int J Pediatr Otorhinolaryngol. 2014;78(3):558–60.

    Article  PubMed  Google Scholar 

  20. Resnick DK, Jannetta PJ, Bissonnette D, Jho HD, Lanzino G. Microvascular decompression for glossopharyngeal neuralgia. Neurosurgery. 1995;36(1):64–8; discussion 8–9.

    Article  CAS  PubMed  Google Scholar 

  21. Sampson JH, Grossi PM, Asaoka K, Fukushima T. Microvascular decompression for glossopharyngeal neuralgia: long-term effectiveness and complication avoidance. Neurosurgery. 2004;54(4):884–9; discussion 9–90.

    Article  PubMed  Google Scholar 

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Correspondence to Agnes R. Stogicza MD, FIPP .

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Glossopharyngeal nerve exam (MOV 52210 kb)

Glossopharyngeal landmark-guided injection (MOV 58922 kb)

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Stogicza, A.R., Trescot, A.M. (2016). Glossopharyngeal Nerve Entrapment. In: Trescot, A.M. (eds) Peripheral Nerve Entrapments. Springer, Cham. https://doi.org/10.1007/978-3-319-27482-9_26

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  • DOI: https://doi.org/10.1007/978-3-319-27482-9_26

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27480-5

  • Online ISBN: 978-3-319-27482-9

  • eBook Packages: MedicineMedicine (R0)

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