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Diagnosis and treatment of glossopharyngeal neuralgia

DC Field Value Language
dc.contributor.authorAhn, YH-
dc.date.accessioned2023-10-24T07:46:07Z-
dc.date.available2023-10-24T07:46:07Z-
dc.date.issued2023-
dc.identifier.issn1975-8456-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/26390-
dc.description.abstractBackground: Glossopharyngeal neuralgia (GPN) is a rare type of cranial nerve rhizopathy that accounts for roughly 1% of trigeminal neuralgia cases and presents as extreme neuralgic pain in the ipsilateral deep throat, tongue base, or ear. Pain is usually intense and electric shock-like, occurring either without warning or triggered by swallowing. The purpose of this article is to provide a comprehensive review of the diagnosis and treatment of GPN and to differentiate it from trigeminal neuralgia.

Current Concepts: In this review, our experiences, including cases of misdiagnosis and diagnostic pitfalls, are presented in detail. Treatment of GPN with microvascular decompression (MVD) has a success rate of over 90%. The use of “off-the-root entry zone” MVD, which eliminates the need for an adjuvant rhizotomy, is the best treatment for GPN. In addition, although gamma knife radiosurgery is categorized as a destructive procedure, it can still be another option if a patient is ineligible for MVD.

Discussion and Conclusion: Practitioners must consider GPN when diagnosing patients with cranial nerve rhizopathy; it should be distinguished from other pain syndromes, especially trigeminal neuralgia. With an accurate diagnosis, an appropriate treatment plan can be developed.
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dc.language.isoko-
dc.titleDiagnosis and treatment of glossopharyngeal neuralgia-
dc.title.alternative혀인두신경통의 진단과 치료-
dc.typeArticle-
dc.subject.keywordGlossopharyngeal neuralgia-
dc.subject.keywordMicrovascular decompression surgery-
dc.subject.keywordTrigeminal neuralgia-
dc.subject.keyword혀인두신경통-
dc.subject.keyword미세혈관수술-
dc.subject.keyword삼차신경통-
dc.contributor.affiliatedAuthorAhn, YH-
dc.type.localJournal Papers-
dc.identifier.doi10.5124/jkma.2023.66.1.19-
dc.citation.titleJournal of the Korean Medical Association-
dc.citation.volume66-
dc.citation.number1-
dc.citation.date2023-
dc.citation.startPage19-
dc.citation.endPage30-
dc.identifier.bibliographicCitationJournal of the Korean Medical Association, 66(1). : 19-30, 2023-
dc.identifier.eissn2093-5951-
dc.relation.journalidJ019758456-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
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