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Glossopharyngeal neuralgia with cardiac syncope
L Ferrante1, M Artico, B Nardacci
1Department of Neurological Sciences, Neurosurgery, University of Rome La Sapienza, Italy.
Neurosurgery
|January 1, 1995
Summary
Glossopharyngeal neuralgia, a rare craniofacial pain, can cause fainting. Surgical decompression of cranial nerves IX and X effectively treated five patients with this uncommon syndrome.
Area of Science:
- Neurology
- Neurosurgery
- Pain Medicine
Background:
- Glossopharyngeal neuralgia is an uncommon craniofacial pain syndrome.
- It is occasionally associated with cardiac syncope.
- Nerve involvement can range from painless to severe episodic neuralgia.
Observation:
- Presents five cases of glossopharyngeal neuralgia.
- Total observed cases: 15.
- All patients experienced successful treatment outcomes.
Findings:
- Successful treatment achieved through sectioning of Cranial Nerves IX and X rootlets.
- Microvascular decompression in the posterior cranial fossa also proved effective.
- Analysis of relevant literature supports these treatment modalities.
Implications:
- Highlights effective surgical interventions for glossopharyngeal neuralgia.
- Suggests microvascular decompression as a viable treatment option.
- Contributes to understanding the pathogenesis and management of this rare syndrome.