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Surgical treatment of glossopharyngeal neuralgia via the pharyngeal approach

Published online by Cambridge University Press:  29 June 2007

A. P. Mairs  and
T. J. Stewart
A. P. Mairs
Affiliation:
Belfast
T. J. Stewart*
Affiliation:
Belfast
*
Mr. T. J. Stewart, FRCS, Consultant Otolaryngologist, The Ulster Hospital, Dundonald, Belfast BT16 ORH, Northern Ireland.
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Abstract

Idiopathic glossopharyngeal neuralgia is an uncommon disorder which often fails to respond to medical treatment. Surgical treatment most commonly consists of intracranial section of the glossopharyngeal nerve and upper vagal rootlets. We present three cases treated by the much simpler pharyngeal approach and argue that in appropriately selected patients this approach should receive more serious consideration.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 1 , January 1990 , pp. 12 - 16
Copyright
Copyright © JLO (1984) Limited 1990

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References

Adson, A. W. (1924). The surgical treatment of glossopharyngeal neuralgia. Archives of Neurology and Psychiatry, 12: 487–506.CrossRefGoogle Scholar
Asherson, W. (1957). Glossopharyngeal neuralgia (otalgia) and the elongated styloid process: A record of five cases. Journal of Laryngology and Otology, 71: 453–470.CrossRefGoogle ScholarPubMed
Bailey, F. W. (1955). Neuralgia of the ninth cranial nerve and indications for peripheral section. Journal of the International College of Surgeons, 23: 315–325.Google ScholarPubMed
Beal, J. M. (1967). Case presentation. Glossopharyngeal neuralgia. Illinois Medical Journal, 131: 165–166 & 248.Google ScholarPubMed
Bohm, E. and Strang, R. R. (1962). Glossopharyngeal neuralgia. Brain, 85: 371–388.CrossRefGoogle Scholar
Brihaye, J., Perier, O., Smulders, J. and Franken, L. (1956). Glossopharyngeal neuralgia caused by compression of the nerve by an atheromatous vertebral artery. Journal of Neurosurgery, 13: 299–302.CrossRefGoogle ScholarPubMed
Bruyn, G. W. (1983). Glossopharyngeal neuralgia. Cephalgia, 3: 143–157.CrossRefGoogle ScholarPubMed
Chawla, J. C. and Falconer, M. A. (1967). Glossopharyngeal and vagal neuralgia. British Medical Journal, 3: 529–531.CrossRefGoogle ScholarPubMed
Claes, J. (1986). Nervus glossopharyngeus. Acta Otorhinolaryngologia Belgica, 40: 207–214.Google ScholarPubMed
Dandy, W. E. (1927). Glossopharyngeal neuralgia (tic douloureux): Its diagnosis and treatment. Archives of Surgery, 15: 198–214.CrossRefGoogle Scholar
Departs, M. (1975). In Handbook of Clinical Neurology (Vinken, P. J. and Bruyn, G. W., eds.) Vol. 5, Headaches and cranial neuralgias, pp. 350–361. North Holland Publishing Company, Amsterdam.Google Scholar
Doyle, J. B. (1923). A study of four cases of glossopharyngeal neuralgia. Archives of Neurology and Psychiatry, 9: 34–46.CrossRefGoogle Scholar
Dykman, T. R., Montgomery, E. B., Garstenberger, P. P., Zeiger, H. E., Clutter, W. C. and Cryer, P. E. (1981). Glossopharyngeal neuralgia with syncope secondary to tumour: Treatment and pathophysiology. American Journal of Medicine, 71: 165–168.CrossRefGoogle ScholarPubMed
Eagle, W. W. (1937). Elongated styloid process. Archives of Otolaryngology, 25: 584–587.CrossRefGoogle Scholar
Ekbom, K. A. and Westerberg, C. E. (1966). Carbamazepine in glossopharyngeal neuralgia. Archives of Neurology, 14: 595–596.CrossRefGoogle ScholarPubMed
Erickson, T. C. (1936). Paroxysmal neuralgia of the tympanic branch of the glossopharyngeal nerve. Report of a case in which relief was obtained by intracranial section of the glossopharyngeal nerve. Archives of Neurology and Psychiatry, 35: 1070–1075.CrossRefGoogle Scholar
Funasaka, S. and Kodera, K. (1977). Intraoral nerve block for glossopharyngeal neuralgia. Archives of Otorhinolaryngology, 215: 311–315.CrossRefGoogle ScholarPubMed
Giorgi, C. and Broggi, G. (1984). Surgical treatment of glossopharyngeal neuralgia and pain from cancer of the nasopharynx: A twenty year experience. Journal of Neurosurgery, 61: 952–955.CrossRefGoogle Scholar
Graf, C. J. (1959). Glossopharyngeal neuralgia and ossification of the stylohyoid ligament. Journal of Neurosurgery, 16: 448–453.CrossRefGoogle ScholarPubMed
Harris, W. (1921). Persistent pain in lesions of the peripheral and central nervous system. Brain, 44: 557–571.CrossRefGoogle Scholar
Isamat, F., Ferran, E. and Acebes, J. J. (1981). Selective percutaneous thermocoagulation rhizotomy in essential glossopharyngeal neuralgia. Journal of Neurosurgery, 55: 575–580.CrossRefGoogle ScholarPubMed
Ishii, T. (1976). Glossopharyngeal neuralgia: Surgical treatment and electron microscopy findings. Laryngoscope, 86: 577–583.CrossRefGoogle Scholar
Jannetta, P. J. (1976). Microsurgical approach to the trigeminal nerve for tic douloureux. Progress in Neurological Surgery, 7: 180–200.CrossRefGoogle Scholar
Janetta, P. J. (1982). In Neurological Surgery (Youmans, J. R. ed.) WB Saunders Company, Philadelphia, p. 3771–3784.Google Scholar
Jefferson, G. (1931). Glossopharyngeal neuralgia. Lancet, 2: 397–399.CrossRefGoogle Scholar
Kandt, R. S. and Daniel, F. L. (1986). Glossopharyngeal neuralgia in a child: A diagnostic and therapeutic dilemma. Archives of Neurology, 43: 301–302.CrossRefGoogle Scholar
Karnosh, L. J., Gardner, W. J. and Stowell, A. (1947). Glossopharyngeal neuralgia: Physiologic considerations of the role of the IXth and Xth cranial nerves. Report of cases. Transactions of the American Neurological Association, 72: 205–207.Google Scholar
Keith, W. S. (1932). Glossopharyngeal neuralgia. Brain, 55: 357–366.CrossRefGoogle Scholar
Kempe, L. G. and Smith, D. R. (1969). Trigeminal neuralgia, facial spasm, intermedius and glossopharyngeal neuralgia with persistent carotid basilar anastomosis. Journal of Neurosurgery, 31: 445–451.CrossRefGoogle ScholarPubMed
Knuckey, N. W. and Gubbay, S. S. (1979). Familial trigemial and glossopharyngeal neuralgia. Clinical and Experimental Neurology, 16: 315–319.Google Scholar
Kunc, Z. (1965). Treatment of essential neuralgia of the IXth nerve by selective tractotomy. Journal of Neurosurgery, 23: 494–500.CrossRefGoogle Scholar
Laha, R. K. and Janetta, P. J. (1977). Glossopharyngeal neuralgia. Journal of Neurosurgery, 47: 316–320.CrossRefGoogle ScholarPubMed
Lazorthes, J. and Verdie, J. C. (1979). Radiofrequency coagulation of the petrous ganglion in glossopharyngeal neuralgia. Neurosurgery, 4: 512–516.CrossRefGoogle ScholarPubMed
Lillie, H. I. and Craig, W. McK. (1936). Anomalous vascular lesion in cerebellopontile angle. Severe neuralgic pain in the ear and profound nervous disturbance: Operation and recovery. Archives of Otolaryngology, 23: 642–645.CrossRefGoogle Scholar
Love, J. G. (1944). Diagnosis and surgical treatment of glossopharyngeal neuralgia. Clinical and Experimental Neurology, 16: 315–319.Google Scholar
Morrison, J. T. (1948). Glossopharyngeal neuralgia: Extracranial neurectomy. British Journal of Surgery, 36: 208–209.CrossRefGoogle ScholarPubMed
Murasawa, A., Yamada, K., Hayakawa, T. Aragaki, Y. and Yoshimine, T. (1985). Glossopharyngeal neuralgia treated by microvascular decompression: Case report. Neurologia Medica Chiruque (Tokyo), 25: 551–553.CrossRefGoogle ScholarPubMed
Nagashima, C., Sakaguchi, A., Kamisasa, A. and Kawanuma, S. (1976). Cardiovascular complications on upper vagal rootlet section for glossopharyngeal neuralgia: Case report. Journal of Neurosurgery, 44: 248–253.CrossRefGoogle ScholarPubMed
O'Brien, M. A. (1962). Neuralgias in Otolaryngology. Irish Journal of Medial Science, 442: 439–445.CrossRefGoogle Scholar
Occhiogrosso, M., De Tommasi, A. and Vailati, G. (1980). Glossopharyngeal neuralgia due to exuberant choroid plexus. Surgical Neurology, 13: 459–461.Google ScholarPubMed
Ori, C., Salar, G. and Givon, G. (1983). Percutaneous glossopharyngeal thermocoagulation complicated by syncope and seizures. Neurosurgery, 13: 427–429.CrossRefGoogle ScholarPubMed
Ori, C., Salar, G. and Giron, G. P. (1985). Cardiovascular and cerebral complications during glossopharyngeal nerve thermocoagulation. Anaesthesia, 40: 433–437.CrossRefGoogle ScholarPubMed
Orton, C. I. (1972). Glossopharyngeal neuralgia: Its diagnosis and treatment. British Journal of Oral Surgery, 9: 228–232.CrossRefGoogle ScholarPubMed
Peet, M. M. (1935). Glossopharyngeal neuralgia. Annals of Surgery, 101: 256–268.CrossRefGoogle ScholarPubMed
Ray, B. S. and Stewart, H. J. (1948). Glossopharyngeal neuralgia: A cause of cardiac arrest. American Heart Journal, 35: 458–462.CrossRefGoogle ScholarPubMed
Reddy, K., Hobson, D. E., Gomori, A. and Sutherland, G. R. (1987). Painless glossopharyngeal ‘neuralgia’ with syncope: A case report and literature review. Neurosurgery, 21: 916–919.CrossRefGoogle ScholarPubMed
Reichert, F. L. (1933). Tympanic plexus neuralgia. True tic douloureux of the ear or so-called geniculate ganglion neuralgia: Cure effected by intracranial section of the glossopharyngeal nerve. Journal of the American Medical Association, 100: 1744–1746.CrossRefGoogle Scholar
Riesman, D. (1936). Glossopharyngeal neuralgia due to an impacted wisdom tooth. Annals of Internal Medicine, 10: 1889–1890.Google Scholar
Riley, H. A., German, W. J., Wortis, H., Herbert, C., Zahn, D. and Eichna, L. (1942). Glossopharyngeal neuralgia initiating or associated with cardiac arrest. Transactions of the American Neurological Association, 68: 28–29.Google Scholar
Ringel, R. A. and Roy, E. P. (1987). Glossopharyngeal neuralgia: Successful treatment with Baclofen. Annals of Neurology, 21: 514–515.CrossRefGoogle ScholarPubMed
Ripley, R. C., Hollifield, J. W. and Nies, A. S. (1977). Sustained hypertension after section of the glossopharyngeal nerve. American Journal of Medicine, 62: 297–302.CrossRefGoogle ScholarPubMed
Robson, J. T. and Bonica, J. (1950). The vagus nerve in surgical consideration of glossopharyngeal neuralgia. Journal of Neurosurgery, 7: 482–484.CrossRefGoogle ScholarPubMed
Rushton, J. G., Stevens, J. C. and Miller, R. H. (1981). Glossopharyngeal (vagoglossopharyngeal) neuralgia. Archives of Neurology, 38: 201–205.CrossRefGoogle ScholarPubMed
Salar, G., Ori, C., Baratto, V., Iob, I. and Mingrino, S. (1983). Selective percutaneous thermolesions of the IXth cranial nerve by lateral cervical approach: Report of eight cases. Surgical Neurology, 20: 276–279.CrossRefGoogle Scholar
Saviolo, R. and Fiasconaro, G. (1987). Treatment of glossopharyngeal neuralgia by carbamazepine. British Heart Journal, 58: 291–292.CrossRefGoogle ScholarPubMed
Shaheen, O. H. (1963). A surgical technique for the relief of glossopharyngeal neuralgia. Annals of Otolaryngology, 72: 873–884.Google ScholarPubMed
Sicard, R. and Robineau, , (1920). Algie velo-pharyngee essentielle. Traitement chirurgical revue. Neurologique, 36: 256–257.Google Scholar
Sinha, A. (1962). A case of glossopharyngeal neuralgia. Journal of Laryngology and Otology, 76: 456–457.CrossRefGoogle ScholarPubMed
Sobol, S. Wood, M., B., G. and Conoyer, J. M. (1982). Glossopharyngeal neuralgia-asystole syndrome secondary to parapharyngeal space lesions. Otolaryngology–Head and Neck Surgery, 90: 16–19.CrossRefGoogle ScholarPubMed
Sweet, W. H. (1976). Treatment of facial pain by percutaneous differential thermal trigeminal rhizotomy. Progress in Neurological Surgery, 7: 153–179.CrossRefGoogle Scholar
Tew, J. M. Jr. (1977). In current techniques in operative neurosurgery. (Schmidek, H. H. and Sweet, U. H., eds.) Grune and Stratton, New York, p. 409–426.Google Scholar
Uihlein, A., Love, J. G. and Corbin, K. B. (1955). Intracranialsection of the glossopharyngeal nerve. Sensory changes observed post-opcratively. Archives of Neurology and Psychiatry, 74: 320–324.CrossRefGoogle Scholar
Waga, S. and Kojima, T. (1982). Glossopharyngeal neuralgia of traumatic origin. Surgical Neurology, 17: 77–79.CrossRefGoogle ScholarPubMed
Weisenburg, T. H. (1910). Cerebellopontile tumour diagnosed for six years as tic douloureux. The symptoms of irritation of the IXth and XIIth cranial nerves. Journal of the American Medical Association, 54: 1600–1604.CrossRefGoogle Scholar
White, J. C. and Sweet, W. H. (1969). In Pain and the Neurosurgeon. A forty year experience. Thomas, Charles C., Springfield, Illinois, USA. p. 265–302.Google Scholar
Wilson, C. P. and McAlpine, D. (1946). Glossopharyngeal neuralgia treated by transtonsillar section of the nerve. Proceedings of the Royal Society of Medicine, 40: 82–83.CrossRefGoogle ScholarPubMed