Glossopharyngeal

A glossopharyngeal is characterized by recurrent severe attacks of pain in the innervation of the IX. and X. cranial nerves (posterior pharynx, tonsil, tongue base, middle ear, below the jaw angle). The diagnosis is made clinically. is usually treated with carbamazepine or gabapentin.

A glossopharyngeal stirred sometimes from one nerve compression by an aberrant, pulsating artery forth, similar to trigeminal neuralgia and hemifacial spasm. The nerve can be compressed in the neck by an elongated styloid process (Eagle’s syndrome). Rarely the cause is a tumor in the cerebellopontine angle or in the neck, a peritonsillar, a carotid aneurysm or a demyelinating disease. Often no cause can be identified.

A glossopharyngeal is characterized by recurrent severe attacks of pain in the innervation of the IX. and X. cranial nerves (posterior pharynx, tonsil, tongue base, middle ear, below the jaw angle). The diagnosis is made clinically. is usually treated with carbamazepine or gabapentin. A glossopharyngeal stirred sometimes from one nerve compression by an aberrant, pulsating artery forth, similar to trigeminal neuralgia and hemifacial spasm. The nerve can be compressed in the neck by an elongated styloid process (Eagle’s syndrome). Rarely the cause is a tumor in the cerebellopontine angle or in the neck, a peritonsillar, a carotid aneurysm or a demyelinating disease. Often no cause can be identified. The glossopharyngeal is rare and often affects males, usually after age 40. Symptoms and complaints As with trigeminal neuralgia occur spontaneously paroxysmal attacks of unilateral, recently excruciating pain, or they are triggered when are areas that are innervated by the glossopharyngeal stimulated (z. B. chewing, swallowing, coughing, speeches, yawning, sneezing). The pain, the second stop to a few minutes, usually begins in the Tonsillarregion or tongue base and can spread to the ipsilateral ear. Occasionally, an increased activity of the vagus nerve leads to a sinus arrest with syncope; These episodes may occur daily or once every few weeks. Diagnosis Clinical evaluation, often incl. Response to anesthetics MRI Diagnosis of glossopharyngeal neuralgia is created clinically. A glossopharyngeal different from trigeminal neuralgia in the localization of the pain. Also, the tonsils dissolves at a glossopharyngeal swallowing or touching with a study rods rather pain, and the application of lidocaine into the pharynx temporarily stops the spontaneous or evoked pain. For the avoidance of tonsillar, pharyngeal and Cerebellopontine angle tumors and metastatic lesions in the anterior triangle of the neck is performed MRI. Local nerve blocks by an ENT specialist can help distinguish between carotidynia, laryngeal-superior neuralgia and verursachtene by tumors pain. Treatment usually anticonvulsants The treatment at a glossopharyngeal is the same as a trigeminal neuralgia. The invalidity of oral drugs, local anesthetics can provide relief. Topically applied in the pharynx cocaine z can. B. bring temporary pain relief. A surgical procedure for decompression of the nerve by separation of a pulsating artery may be required. If the pain is limited to the throat, the operation can be restricted to the extracranial part of the nerve. In spread-wide pain of surgical intervention must involve the intracranial part of the nerve.

Health Life Media Team

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