Glossopharyngeal Neuralgia

Glossopharyngeal neuralgia (GPN) is a rare disease that must be differentiated from trigeminal neuralgia. The purpose of this article is to provide a comprehensive review of anatomy, pathophysiology, diagnostic criteria, and several options of treatment for GPN. Lessons learned through our experienc...

Full description

Saved in:
Bibliographic Details
Published inJournal of Korean Neurosurgical Society Vol. 66; no. 1; pp. 12 - 23
Main Authors Park, Jae Sung, Ahn, Young Hwan
Format Journal Article
LanguageEnglish
Korean
Published Korea (South) Korean Neurosurgical Society 01.01.2023
대한신경외과학회
Subjects
Review
신경외과학
Microvascular decompression surgery
Glossopharyngeal nerve diseases
Trigeminal neuralgia
Online AccessGet full text

Cover

More Information
Summary:Glossopharyngeal neuralgia (GPN) is a rare disease that must be differentiated from trigeminal neuralgia. The purpose of this article is to provide a comprehensive review of anatomy, pathophysiology, diagnostic criteria, and several options of treatment for GPN. Lessons learned through our experience of treating GPN are presented in detail, as well as cases of misdiagnosis and diagnostic pitfalls. Microvascular decompression (MVD) should be primarily considered for medically intractable GPN. Techniques employed in MVD for GPN are categorized and described. Especially, we underscore the advantages of the 'transposition' technique where insulating material is positioned 'off' the root entry zone (REZ), instead of 'on' it. We believe this 'off-the-REZ' technique can fundamentally prevent recurrence, if applicable. In addition, Gamma Knife radiosurgery can be an alternative option when a patient is ineligible for MVD, though it is categorized as a destructive procedure.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
KISTI1.1003/JNL.JAKO202311651929979
ISSN:2005-3711
1598-7876
DOI:10.3340/jkns.2022.0178