The Surgical Treatment of Glossopharyngeal Neuralgia

Glossopharyngeal neuralgia associated with cardiac syncope

“…Surgical management is the treatment of choice when pharmaceutical treatment fails. Surgery consists of open intracranial rhizotomy of the glossopharyngeal nerve, with controversial results [1] , and percutaneous rhizotomy of the glossopharyngeal nerve through the jugular foramen. Microvascular decompression (MVD) has been reported to be a successful technique especially when GPN is produced by compression of the nerve by a vessel [10] .…”

Glossopharyngeal neuralgia associated with cardiac syncope

“…Surgical management is the treatment of choice when pharmaceutical treatment fails. Surgery consists of open intracranial rhizotomy of the glossopharyngeal nerve, with controversial results [1] , and percutaneous rhizotomy of the glossopharyngeal nerve through the jugular foramen. Microvascular decompression (MVD) has been reported to be a successful technique especially when GPN is produced by compression of the nerve by a vessel [10] .…”

Glossopharyngeal and Limited Vagal Neurectomy for Cancer-Related Carotid Sinus Syncope

“…8,9 These two theories implicate both the glossopharyngeal and vagus nerves in causing syncope, and therefore we elected to divide both the glossopharyngeal nerve and the rostral third (nonmotor) rootlets of the vagus nerve, as has been advocated by other authors. 3,4,10,11 In addition to the suboccipital intracranial approach to the brainstem, there have been several reports describing alternative extracranial surgical approaches to the glossopharyngeal nerve. However, these methods, which include both cervical 12 and transoral [13][14][15] approaches, have been criticized for their difficulty in obtaining adequate exposure and confident nerve identification 12 and failure to address all sensory branches of the glossopharyngeal nerve.…”

Glossopharyngeal neuralgia with syncope

“…In cases where the diagnosis is in doubt the presence of a trigger spot in the pharynx, stimulation of which produces the typical symptoms, is highly suggestive of the condition (Roulhac and Levy, 1950;Rush ton, i960). The diagnosis is strengthened if this response is abolished by anaesthetizing this trigger spot with a local anaesthetic agent (Adson, 1924;Reichert, 1933;Spurling and Grantham, 1942;Pastore and Meredith, 1949;Thomson, 1954;Rushton, i960).…”

Glossopharyngeal neuralgia associated with cardiac syncope

“…Surgical management is the treatment of choice when pharmaceutical treatment fails. Surgery consists of open intracranial rhizotomy of the glossopharyngeal nerve, with controversial results [1] , and percutaneous rhizotomy of the glossopharyngeal nerve through the jugular foramen. Microvascular decompression (MVD) has been reported to be a successful technique especially when GPN is produced by compression of the nerve by a vessel [10] .…”

Glossopharyngeal and Limited Vagal Neurectomy for Cancer-Related Carotid Sinus Syncope

“…8,9 These two theories implicate both the glossopharyngeal and vagus nerves in causing syncope, and therefore we elected to divide both the glossopharyngeal nerve and the rostral third (nonmotor) rootlets of the vagus nerve, as has been advocated by other authors. 3,4,10,11 In addition to the suboccipital intracranial approach to the brainstem, there have been several reports describing alternative extracranial surgical approaches to the glossopharyngeal nerve. However, these methods, which include both cervical 12 and transoral [13][14][15] approaches, have been criticized for their difficulty in obtaining adequate exposure and confident nerve identification 12 and failure to address all sensory branches of the glossopharyngeal nerve.…”

Glossopharyngeal neuralgia with syncope

“…In cases where the diagnosis is in doubt the presence of a trigger spot in the pharynx, stimulation of which produces the typical symptoms, is highly suggestive of the condition (Roulhac and Levy, 1950;Rush ton, i960). The diagnosis is strengthened if this response is abolished by anaesthetizing this trigger spot with a local anaesthetic agent (Adson, 1924;Reichert, 1933;Spurling and Grantham, 1942;Pastore and Meredith, 1949;Thomson, 1954;Rushton, i960).…”

Glossopharyngeal neuralgia associated with cardiac syncope

“…Surgical management is the treatment of choice when pharmaceutical treatment fails. Surgery consists of open intracranial rhizotomy of the glossopharyngeal nerve, with controversial results [1] , and percutaneous rhizotomy of the glossopharyngeal nerve through the jugular foramen. Microvascular decompression (MVD) has been reported to be a successful technique especially when GPN is produced by compression of the nerve by a vessel [10] .…”

Glossopharyngeal and Limited Vagal Neurectomy for Cancer-Related Carotid Sinus Syncope

“…8,9 These two theories implicate both the glossopharyngeal and vagus nerves in causing syncope, and therefore we elected to divide both the glossopharyngeal nerve and the rostral third (nonmotor) rootlets of the vagus nerve, as has been advocated by other authors. 3,4,10,11 In addition to the suboccipital intracranial approach to the brainstem, there have been several reports describing alternative extracranial surgical approaches to the glossopharyngeal nerve. However, these methods, which include both cervical 12 and transoral [13][14][15] approaches, have been criticized for their difficulty in obtaining adequate exposure and confident nerve identification 12 and failure to address all sensory branches of the glossopharyngeal nerve.…”

Glossopharyngeal neuralgia with syncope

“…In cases where the diagnosis is in doubt the presence of a trigger spot in the pharynx, stimulation of which produces the typical symptoms, is highly suggestive of the condition (Roulhac and Levy, 1950;Rush ton, i960). The diagnosis is strengthened if this response is abolished by anaesthetizing this trigger spot with a local anaesthetic agent (Adson, 1924;Reichert, 1933;Spurling and Grantham, 1942;Pastore and Meredith, 1949;Thomson, 1954;Rushton, i960).…”