Neuralgia of the glossopharyngeal and vagal nerves: long-term outcome following surgical treatment and literature review

Kandan, Sri Raveen; Khan, Sadaquate; Jeyaretna, Sanjeeva; Lhatoo, Samden D.; Patel, Nikunj K.; Coakham, Hugh B.

doi:10.3109/02688697.2010.487131

Cited by 77 publications

(60 citation statements)

References 16 publications

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“…As a result, no sex effect could be identified [53]. With regard to vagoglossopharyngeal neuralgia, researchers reported that there was no preponderance regarding sex [54,55]. I gave a supplementary explanation for the term "vagoglossopharyngeal neuralgia".…”

Section: Vagus Nervementioning

confidence: 99%

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Moriyama¹

2013

Sexual Dimorphism

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Section: Vagus Nervementioning

confidence: 99%

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Moriyama¹

2013

Sexual Dimorphism

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“…39 Since that time, this operation has gained greater acceptance than the traditional rhizotomy procedures and many series have been published regard ing its efficacy. [15][16][17]26,30,34,39,[45][46][47]50,56,60,67 Percutaneous procedures have been devised as an alternative to craniotomy; these procedures include ra diofrequency rhizotomy 2,4,12,18,21,40,55 and trigeminal trac totomy. 27,28,38 Most recently, stereotactic radiosurgery has also been explored.…”

Section: 41mentioning

confidence: 99%

Current neurosurgical management of glossopharyngeal neuralgia and technical nuances for microvascular decompression surgery

Rey‐Dios

Cohen-Gadol

2013

FOC

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Glossopharyngeal neuralgia (GPN) is an uncommon facial pain syndrome often misdiagnosed as trigeminal neuralgia. The rarity of this condition and its overlap with other cranial nerve hyperactivity syndromes often leads to a significant delay in diagnosis. The surgical procedures with the highest rates of pain relief for GPN are rhizotomy and microvascular decompression (MVD) of cranial nerves IX and X. Neurovascular conflict at the level of the root exit zone of these cranial nerves is believed to be the cause of this pain syndrome in most cases. Vagus nerve rhizotomy is usually reserved for cases in which vascular conflict is not evident. A review of the literature reveals that although the addition of cranial nerve X rhizotomy may improve the chances of long-term pain control, this maneuver also increases the risk of permanent dysphagia and vocal cord paralysis. The risks of this procedure have to be carefully weighed against its benefits. Based on the authors' experience, careful patient selection with a thorough exploratory operation most often leads to identification of the site of vascular conflict, obviating the need for cranial nerve X rhizotomy.

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“…20,22,27,28 It is also well demonstrated that the rate of pain control is slightly better with rhizotomy (95%) than with MVD (86%). In our series all the patients had satisfactory improvement except one patient who had persistent pain Other noninvasive treatment options have been described: Percutaneous radiofrequency neurolysis is an alternative in cases who failed medical treatment or in which they cannot undergo intracranial surgery.…”

Section: Discussionmentioning

confidence: 73%

“…[19][20][21] MVD series have reported good outcomes in 90-98%, long-term pain improvement have been observed in 64% with a low mortality ranging from 0% to 5.8%. 22 Currently, the MVD procedure is perceived as the most effective treatment for TN with the most satisfactory outcomes. The purpose of this study was to evaluate the anatomical variations in pathophysiology and role of MVD as a better treatment option in medically refractory cases in this series of cases of Trigeminal neuralgia.…”

Section: Introductionmentioning

confidence: 99%

MVD for trigeminal neuralgia; neuralgia revisited with review of literature

Melkundi¹,

Melkundi²

2017

Int J Otorhinolaryngol Head Neck Surg

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INTRODUCTIONTrigeminal neuralgia (TN) is a disorder characterized by sudden sharp, shooting, lancinating pain attacks lasting several seconds to several minutes and localized to one or two branches of the trigeminal nerve. These attacks may begin spontaneously or they can be initiated by stimulation of the so-called trigger zones. The classic episodes of shooting pain are interrupted by pain-free intervals with remissions occasionally lasting for years. 1It is an uncommon craniofacial pain syndrome, representing 0.2-1.3% of facial pain syndromes, with an annual incidence of 0.7 cases per 100,000 habitants per year according to a population-based study. [2][3][4] In some cases, it is associated with excessive vagal outflow; which leads to bradycardia, hypotension, syncope or cardiac arrest. [5][6][7] Dandy elucidated the pathophysiology of trigeminal neuralgia and proposed vascular compression at the root of the trigeminal nerve as the main etiology, causing demyelinization, and ephaptic transmission. 8,9 It is shown ABSTRACT Background: Trigeminal neuralgia (TN) s an uncommon facial pain syndrome. It is commonly characterized by sudden onset of an attack of intense electric shock like facial pain localized along the sensory distribution of the ninth cranial nerve. Although many patients respond to the medical line of treatment but when PTS symptoms become intractable and could not tolerate the medications have to go for surgical decompression. Our study aims to review about micro vascular decompression for trigeminal neuralgia and its outcome along with the review of literature. Methods: It is a retrospective study conducted on 40 cases who were diagnosed with TN. between the period of July 2009 to July 2015. MVD has been performed on all the patients. Demographic data, clinical presentation, surgical findings, complications and long term follow-up were reviewed. Results:The median age of onset of TN is 50.4 years divided into five age groups ranging from 24 to 89 years with female preponderance showing 65.5% as compared to males. The distribution of location was in the ratio of right to left is 1.5:1. There was no mortality is seen in the study. 3 patients among them study population had complications 3 patients had facial hyposthesia, 1 patient had V3 paresis and 1 patient had CSF otorrhoea which got settled with drainage LP. All the patients had satisfactory improvement except one patient who had persistent pain. Conclusions: To conclude micro vascular decompression (MVD) is the surgical procedure of choice for the treatment of medically refractory TN who is fit for surgery. Of all the currently available surgical methods MVD provides the highest rate of long term satisfaction for the patients and offers the lowest rate of pain recurrence.

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Neuralgia of the glossopharyngeal and vagal nerves: long-term outcome following surgical treatment and literature review

Cited by 77 publications

References 16 publications

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

The Relationship Between Sexually Dimorphic Peripheral Nerves and Diseases

Current neurosurgical management of glossopharyngeal neuralgia and technical nuances for microvascular decompression surgery

MVD for trigeminal neuralgia; neuralgia revisited with review of literature

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