Diagnosis and neurosurgical treatment of glossopharyngeal neuralgia: clinical findings and 3-D visualization of neurovascular compression in 19 consecutive patients
2011

Treatment of Glossopharyngeal Neuralgia

Sample size: 19 publication Evidence: moderate

Author Information

Author(s): Gaul C., Hastreiter P., Duncker A., Naraghi R.

Primary Institution: Department of Neurology, University Duisburg-Essen

Hypothesis

Can microvascular decompression effectively treat glossopharyngeal neuralgia in patients who do not respond to medical treatment?

Conclusion

Microvascular decompression is a safe and effective treatment for glossopharyngeal neuralgia, with most patients becoming pain-free after surgery.

Supporting Evidence

  • 16 out of 18 patients who underwent surgery were completely pain-free afterward.
  • High-resolution MRI confirmed neurovascular compression in all patients.
  • Two patients experienced transient complications, but all cranial nerve dysfunctions resolved within a week.

Takeaway

This study looked at 19 patients with a rare type of pain in the throat and ear. Most of them felt much better after a special surgery that fixed the nerves causing the pain.

Methodology

The study analyzed clinical data and MRI findings from 19 patients who underwent surgery for glossopharyngeal neuralgia.

Potential Biases

Potential selection bias as patients were referred for surgery after failing medical treatment.

Limitations

The study is limited by its small sample size and the retrospective nature of data collection.

Participant Demographics

11 men and 8 women, mean age 48.5 years.

Digital Object Identifier (DOI)

10.1007/s10194-011-0349-x

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