설인신경통 환자에서 Phenytoin 정주의 효과 -증례 보고

Glossopharyngeal neuralgia is a rare syndrome that involves episodic bursts of pain in the sensory distributuion of the ninth cranial nerve. The nature of the pain is characterized by excruciating shock-like pain in the region of the tonsillar fossa or pharynx and can radiate to the ear or the angle...

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Bibliographic Details
Published inThe Korean journal of pain Vol. 12; no. 1; pp. 119 - 122
Main Authors 이영복, 윤경봉, 이광호, 한이경, Lee, Young-Bok, Yoon, Kyung-Bong, Lee, Kwang-Ho, Han, Yi-Keong
Format Journal Article
LanguageKorean
Published 1999
Subjects
Anticonvulsants: phenytoin
Pain: glossopharyngeal neuralgia
Analgesics: intravenous
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Summary:Glossopharyngeal neuralgia is a rare syndrome that involves episodic bursts of pain in the sensory distributuion of the ninth cranial nerve. The nature of the pain is characterized by excruciating shock-like pain in the region of the tonsillar fossa or pharynx and can radiate to the ear or the angle of the jaw. Like trigeminal neuralgia, glossopharyngeal neuralgia typically responds to anticonvulsant agents such as carbamazepine. However, dose of carbamazepine needs to be increased gradually to avoid side effects. If the patient can not tolerate until effective carbamazepine level is reached, phenytoin can be administered intravenously at the same time that oral carbamazepine therapy is begun. We present fifty-three year old female patient suffering from glossopharyngeal neuralgia who did not respond to initial carbamazepine therapy, but responded to concomitant intravenous infusion of phenytoin.
Bibliography:KISTI1.1003/JNL.JAKO199931640761903
ISSN:1226-2579
2093-0569