Selective percutaneous thermolesions of the ninth cranial nerve by lateral cervical approach: report of eight cases

Salar, G; Ori, Carlo; Baratto, Vittorio; I, Iob; Mingrino, S

doi:10.1016/0090-3019(83)90078-2

Cited by 19 publications

(4 citation statements)

References 4 publications

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“…GPN injury and nuclear GPN lesions may result in hypertensive attacks [4]. Also, percutaneous radiofrequency application on the PG for the treatment of GPN neuralgia could result in bradycardia and hypotension [13]. According to present knowledge, it is said that increased GPN input may result in hypotension and decreased input of the GPN may result in hypertension.…”

Section: Discussionmentioning

confidence: 99%

The Role of Neuron Numbers of the Petrosal Ganglion in the Determination of Blood Pressure: An Experimental Study

Aydın¹,

Bayram²,

Atalay³

et al. 2006

Minim Invasive Neurosurg

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Section: Discussionmentioning

confidence: 99%

The Role of Neuron Numbers of the Petrosal Ganglion in the Determination of Blood Pressure: An Experimental Study

Aydın¹,

Bayram²,

Atalay³

et al. 2006

Minim Invasive Neurosurg

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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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“…This is followed by stimulation and subsequent lesioning with continuous cardiovascular monitoring to avoid injury to the vagus nerve. 51 An attractive feature of this approach is that it allows one to reach the jugular foramen in cases in which the standard route is affected by the presence of neoplastic or other pathological process that may be responsible for secondary GPN.…”

Section: Treatmentmentioning

confidence: 99%

Glossopharyngeal Neuralgia

Slavin¹

2004

Seminars in Neurosurgery

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Glossopharyngeal neuralgia (GPN) is a pain syndrome characterized by attacks of severe pain in the sensory distribution of the glossopharyngeal nerve. Most cases of GPN respond to treatment with carbamazepine and other anticonvulsants. The causative element of essential GPN appears to be a vascular compression of the glossopharyngeal nerve root and the upper rootlets of the vagus nerve; therefore, the most definitive surgical treatment consists of microvascular decompression of the ninth (and tenth) nerve in the posterior cranial fossa. In cases of secondary GPN and when microvascular decompression is not possible, intracranial rhizotomy of the glossopharyngeal and upper portion of the vagal nerve roots may be the next logical step in surgical management. Extracranial neurotomy and percutaneous radiofrequency rhizotomy are useful for patients with GPN who have failed medical treatment but for some reason cannot undergo intracranial intervention.

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Selective percutaneous thermolesions of the ninth cranial nerve by lateral cervical approach: report of eight cases

Cited by 19 publications

References 4 publications

The Role of Neuron Numbers of the Petrosal Ganglion in the Determination of Blood Pressure: An Experimental Study

The Role of Neuron Numbers of the Petrosal Ganglion in the Determination of Blood Pressure: An Experimental Study

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

Glossopharyngeal Neuralgia

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