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Glossopharyngeal neuralgia

R K Laha, P J Jannetta

    Journal of Neurosurgery
    |September 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Vascular compression of cranial nerves by arteries is a key cause of glossopharyngeal neuralgia. Microvascular decompression surgery can effectively treat this condition by relieving the nerve compression.

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    Area of Science:

    • Neurology
    • Neurosurgery
    • Vascular Neurology

    Background:

    • Glossopharyngeal neuralgia is a debilitating condition affecting the glossopharyngeal nerve.
    • The etiology and pathogenesis involve various factors, with vascular compression being a significant consideration.

    Purpose of the Study:

    • To investigate the role of vascular compression in glossopharyngeal neuralgia.
    • To evaluate the efficacy of microvascular decompression in treating this condition.

    Main Methods:

    • A series of six patients with glossopharyngeal neuralgia were studied.
    • The operating microscope was used to identify vascular compression of the ninth and tenth cranial nerves at the nerve root entry zone.

    Main Results:

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  • In five out of six patients, compression of the ninth and tenth cranial nerves was caused by a tortuous vertebral artery or posterior inferior cerebellar artery.
  • Vascular compression was identified at the nerve root entry zone.

    • Conclusions:

    • Vascular compression of the ninth and tenth cranial nerves is a likely cause of glossopharyngeal neuralgia in many cases.
    • Microvascular decompression, without nerve sectioning, offers a potential cure for selected patients.