The Clinical Characteristics and Surgical Treatment of Glossopharyngeal Neuralgia With Pain Radiating to the Innervated Area of the Trigeminal Nerve

Wang, Xiaosong; Meng, Dawei; Wang, Lin; Chen, Guoqiang

doi:10.1016/j.joms.2020.11.034

Cited by 6 publications

(3 citation statements)

References 29 publications

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“…Furthermore, for the similar pathogenic mechanisms and clinical manifestations of TN and GN, GN may manifest as pain in trigeminal nerve distribution, for example lower jaw [12]. It may lead to misdiagnose, so strictly identify is necessary.…”

Section: Discussionmentioning

confidence: 99%

Microvascular Decompression for Patient With Coexistent of Trigeminal Neuralgia, Hemifacial Spasm and Glossopharyngeal Neuralgia- a Case Report

Sun

Wang

et al. 2021

Preprint

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Background: Primary trigeminal neuralgia (TN), hemifacial spasm (HFS) and glossopharyngeal neuralgia (GN) are common diseases of nervous system, with similar pathogenesis and treatment strategies. Coexistent of such disease, especially coexistent of TN-HFS-GN simultaneously, is very rare. To date, only nine cases have been reported.Case Presentation: A 70-year-old male with a history of hypertension and diabetes complained of severe involuntary contraction for about 10 years, knife-like and lighting-like pain, which was restricted to the distribution of the second and third branches of trigeminal nerve and pharynx and root of tongue, for about 2 years. Coexistent of TN HFS and GN was diagnosed and MVD was carried out. After MVD, the patient completely free from symptoms and no recurrence and hypoesthesia were recorded in 18 months follow up.Conclusion: Here we report the tenth and oldest male patient with coexistent of TN-HFS-GN. Despite limited reports, MVD is the preferred choice for such diseases which can free patients from spasm and neuralgia.

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Section: Discussionmentioning

confidence: 99%

Microvascular Decompression for Patient With Coexistent of Trigeminal Neuralgia, Hemifacial Spasm and Glossopharyngeal Neuralgia- a Case Report

Sun

Wang

et al. 2021

Preprint

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“…A great quantity of elderly (over 50 years old) patients suffer from this most common type of facial neuralgia, seriously influencing their sleep, diet, and social communication [ 1 – 3 ]. Recent research shows that the incidence rate of TN is about 50/million, and gradually increases with age [ 4 – 6 ]. Although drugs including carbamazepine and oxcarbazepine are the preferred choice in treating TN, there are still a great number of patients whose pain cannot be well controlled with these drugs or who cannot tolerate the side effects of these drugs [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular response to Gasserian ganglion ablation on trigeminal neuralgia under local anesthesia: a retrospective single-blind case–control study

Zhao

et al. 2022

BMC Anesthesiol

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Objective Radiofrequency thermocoagulation of Gasserian ganglion brings with it the difficult problem of how to provide adequate acesodyne therapy for patients in order to make the treatment more comfortable. In our study, we assess the safety and efficacy of lidocaine local anesthesia in the treatment of trigeminal neuralgia. Methods From January, 2017 to December, 2020, 80 patients in our hospital who were suffering from trigeminal neuralgia were treated with radiofrequency thermocoagulation through oval foramen. They were all enrolled in our study and randomly divided into a study group and a placebo group. In the study group an appropriate concentration of lidocaine was given outside and inside of the oval foramen after puncturing in place, while in the placebo group the same dose of normal saline was given in the same way. We then recorded the mean arterial pressure (MAP), heart rate (HR) and visual analogue scale (VAS) at different treatment temperatures. Results The values of MAP and HR in the study group were generally lower than those in the placebo group, and the difference was statistically significant. Additionally, the two groups showed a significant difference in MAP, HR, and VAS at different treatment temperatures. There were significant differences in MAP and VAS between the study group at the baseline as well as each time point thereafter, and the range of MAP and HR in the study group were lower than those in the placebo group. Conclusion Reasonable lidocaine local anesthesia can provide analgesic effects and prevent hypertension and arrhythmia during Gasserian ganglion radiofrequency thermocoagulation for the treatment of trigeminal neuralgia.

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“…Recent research shows that the incidence rate of TN is about 50/1 million, gradually increasing with age [4][5][6] . Although drugs including carbamazepine and oxcarbazepine are the prior choice in treating TN, there are still a great number of patients whose pain cannot be well controlled or cannot tolerate the side effects of drugs [7][8] .…”

Section: Introductionmentioning

confidence: 99%

Cardiovascular Response of Radiofrequency Therapy of Gasserian Ganglion with Lidocaine Local Anesthesia during the Treatment of Trigeminal Neuralgia: A Retrospective Single-blind Case-Control Study

Zhao

et al. 2021

Preprint

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ObjectiveRadiofrequency thermocoagulation of Gasserian ganglion has a difficult problem how to provide perfect acesodyne for patients to make the treatment more smoothly and comfortably. In our study, we used moderate lidocaine local anesthesia to assess its safety and efficacy in the treatment of trigeminal neuralgia. MethodsFrom January 2017 to December 2020, 80 patients suffering from trigeminal neuralgia were treated with radiofrequency thermocoagulation through oval foramen in our institution. They were entirely enrolled and randomly divided into the study group and the control group . In the study group moderate lidocaine was given outside and inside of the oval foramen after puncturing in place,while in the control group the same dose of normal saline was given in the same way. The mean arterial pressure (MAP), heart rate(HR) and visual analogue scale (VAS) were recorded respectively at different treatment temperatures. Resultshe fluctuation of mean arterial pressure and heart rate in the experimental group were lower than those in the control group, and the difference was statistically significant. The two groups showed a significant difference in MAP, HR and VAS at different treatment temperatures. Meanwhile, the fluctuation of blood pressure and heart rate in the study group were lower than those in the control group. ConclusionReasonable lidocaine local anesthesia can obviously depress the fluctuation of blood pressure and heart rate during the Gasserian ganglion radiofrequency thermocoagulation in treatment trigeminal neuralgia. This simple anesthesia method can effectively reduce pain and the occurrence of cardiovascular adverse events.

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The Clinical Characteristics and Surgical Treatment of Glossopharyngeal Neuralgia With Pain Radiating to the Innervated Area of the Trigeminal Nerve

Cited by 6 publications

References 29 publications

Microvascular Decompression for Patient With Coexistent of Trigeminal Neuralgia, Hemifacial Spasm and Glossopharyngeal Neuralgia- a Case Report

Microvascular Decompression for Patient With Coexistent of Trigeminal Neuralgia, Hemifacial Spasm and Glossopharyngeal Neuralgia- a Case Report

Cardiovascular response to Gasserian ganglion ablation on trigeminal neuralgia under local anesthesia: a retrospective single-blind case–control study

Cardiovascular Response of Radiofrequency Therapy of Gasserian Ganglion with Lidocaine Local Anesthesia during the Treatment of Trigeminal Neuralgia: A Retrospective Single-blind Case-Control Study

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