Reappraisal of glossopharyngeal neuralgia

Albahkaly, Sameer; Alshehabi, Mohamed; AL-Shmasi, Huda Saleh; Altaleb, Osama Ali

doi:10.1016/j.inat.2017.11.002

Cited by 2 publications

(6 citation statements)

References 14 publications

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“…Carbamazepine, oxcarbazepine, gabapentin, and pregabalin have been extensively studied in trigeminal neuralgia, and patients with glossopharyngeal neuralgia have been shown to respond with similar efficacy 3,16,19 . Additionally, carbamazepine has been shown to reduce the risk of the dangerous cardiovascular manifestations seen with severe glossopharyngeal (vagoglossopharyngeal) neuralgia 2,12,16 . Agents from the antidepressant class, such as amitriptyline, have also been shown to improve the neuropathic pain seen in glossopharyngeal neuralgia 20 .…”

Section: Discussion Of the Final Diagnosismentioning

confidence: 99%

“…Secondary glossopharyngeal neuralgia may also be caused by mechanical compression of the nerve due to anatomic abnormalities, such as elongated styloid processes (stylalgia or Eagle syndrome) or posterior fossa arteriovenous malformation. 12,13 The idiopathic subclassification refers to 1. Lasting from a few seconds to 2 min 2.…”

Section: Discussion Of the Final Diag Nos Ismentioning

confidence: 99%

“…Secondary glossopharyngeal neuralgia refers to the symptoms of glossopharyngeal nerve dysfunction due to an underlying disease or injury, such as neck trauma, demyelinating disease, infection, or mass effect from cerebellopontine angle or tonsillar neoplasms. Secondary glossopharyngeal neuralgia may also be caused by mechanical compression of the nerve due to anatomic abnormalities, such as elongated styloid processes (stylalgia or Eagle syndrome) or posterior fossa arteriovenous malformation 12,13 . The idiopathic subclassification refers to glossopharyngeal neuralgia without evidence of neurovascular compression or an alternative explanation for glossopharyngeal nerve hyperexcitability 14,15 .…”

Section: Discussion Of the Final Diagnosismentioning

confidence: 99%

“…3,16,19 Additionally, carbamazepine has been shown to reduce the risk of the dangerous cardiovascular manifestations seen with severe glossopharyngeal (vagoglossopharyngeal) neuralgia. 2,12,16 Agents from the antidepressant class, such as amitriptyline, have also been shown to improve the neuropathic pain seen in glossopharyngeal neuralgia. 20 Analgesic management with nonsteroidal anti-inflammatories or opioids has not been shown to be effective for glossopharyngeal nerve pain.…”

Section: Discussion Of the Final Diag Nos Ismentioning

confidence: 99%

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A man with tongue pain: A case study

Wolcott

Goldstein

2021

Headache

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A 76-year-old man presented for the evaluation of episodes of severe unilateral pain along the left posterior aspect of his tongue, tonsillar fossa, and jawline. He described the pain as "electric shocks" that would not last longer than 1 min. The episodic pain increased in frequency and intensity over the course of 1 year and recently started to involve his left ear lobe. Eating and drinking triggered his pain, especially when consuming cold foods and liquids. He described difficulty swallowing due to pain but denied any history of abnormal tongue control to suggest neurogenic motor dysphagia.

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Section: Discussion Of the Final Diagnosismentioning

confidence: 99%

Section: Discussion Of the Final Diag Nos Ismentioning

confidence: 99%

Section: Discussion Of the Final Diagnosismentioning

confidence: 99%

Section: Discussion Of the Final Diag Nos Ismentioning

confidence: 99%

See 2 more Smart Citations

A man with tongue pain: A case study

Wolcott

Goldstein

2021

Headache

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“…However, it is sometimes ineffective, and patients become tolerant after prolonged use. Furthermore, the medication must be administered permanently (11). In addition, the prolonged use of the agent may cause adverse effects, such as eruption, drowsiness, dizziness, nausea and vomiting.…”

Section: Discussionmentioning

confidence: 99%

Glossopharyngeal Neuralgia with Syncope Caused by Recurrence of Esophageal Squamous Cell Carcinoma

Nagata

Tajiri

Ueda³

et al. 2019

Intern. Med.

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We herein report a case of glossopharyngeal neuralgia with repeated syncope caused by the recurrence of esophageal carcinoma. The typical symptoms of glossopharyngeal neuralgia are paroxysmal, stabbing, electric shock-like pain in the pharynx and/or base of the tongue on swallowing and talking. In addition, syncope can also be caused by glossopharyngeal neuralgia. The diagnosis of glossopharyngeal neuralgia is not always easy because of its rarity. In the present case, we suspected that repeated syncope was caused by glossopharyngeal neuralgia due to the recurrence of esophageal carcinoma. Concurrent chemoradiation therapy was effective in reducing the tumor size, which resulted in the complete resolution of the symptoms.

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Reappraisal of glossopharyngeal neuralgia

Cited by 2 publications

References 14 publications

A man with tongue pain: A case study

A man with tongue pain: A case study

Glossopharyngeal Neuralgia with Syncope Caused by Recurrence of Esophageal Squamous Cell Carcinoma

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