Glossopharyngeal neuralgia associated with an autoimmune disorder of the thyroid gland. Case report

Abstract BACKGROUND AND IMPORTANCE Hemi-laryngopharyngeal spasm (HeLPS) has been recently described but is not yet widely recognized. Patients describe intermittent coughing and choking and can be cured following microvascular decompression of their Xth cranial nerve. This case report and literature review highlight that HeLPS can co-occur with glossopharyngeal neuralgia (GN) and has been previously described (but not recognized) in the neurosurgical literature. CLINICAL PRESENTATION A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS. CONCLUSION This review highlights that patients with symptoms compatible with HeLPS have been reported since 1926 in at least 4 languages. This additional evidence supports the growing recognition that HeLPS is another neurovascular compression syndrome. Patients with HeLPS continue to be misdiagnosed as conversion disorder. The increased recognition of this new medical condition will require neurosurgical treatment and should alleviate the suffering of these patients.

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Isolated Desmoid Tumor of the Thyroid Gland - Case Report

Polish Journal of Surgery ◽

10.2478/v10035-010-0077-y ◽

2010 ◽

Vol 82 (9) ◽

Author(s):

Piotr Furga ◽

Janusz Łapiński ◽

Andrzej Kwiatkowski ◽

Krzysztof Paśnik

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Desmoid Tumor

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Mixed primary squamous cell carcinoma, follicular carcinoma, and micropapillary carcinoma of the thyroid gland: A case report

Auris Nasus Larynx ◽

10.1016/j.anl.2015.10.011 ◽

2016 ◽

Vol 43 (4) ◽

pp. 455-459 ◽

Cited By ~ 1

Author(s):

Su Dong ◽

Xue-Song Song ◽

Guang Chen ◽

Jia Liu

Keyword(s):

Squamous Cell Carcinoma ◽

Case Report ◽

Thyroid Gland ◽

Cell Carcinoma ◽

Squamous Cell ◽

Follicular Carcinoma ◽

Primary Squamous Cell Carcinoma ◽

Micropapillary Carcinoma

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Primary Alveolar Soft Part Sarcoma Arising in the Thyroid Gland: A Rare Case Report

AJSP Review and Reports ◽

10.1097/pcr.0000000000000426 ◽

2021 ◽

Vol 26 (1) ◽

pp. 35-37

Author(s):

Ashna Aggarwal ◽

Mena Mansour

Keyword(s):

Case Report ◽

Thyroid Gland ◽

Rare Case ◽

Soft Part ◽

Alveolar Soft Part Sarcoma ◽

Rare Case Report

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SKULL METASTASES OF FOLLICULAR CARCINOMA THYROID: A RARE CASE REPORT

10.36106/gjra/3605234 ◽

2021 ◽

pp. 24-25

Author(s):

Smriti Kumari ◽

Manoj Kumar Paswan ◽

Nishat Ahamad

Keyword(s):

Blood Pressure ◽

Heart Rate ◽

Case Report ◽

Body Temperature ◽

Thyroid Gland ◽

Basal Metabolic Rate ◽

Rare Case ◽

Follicular Carcinoma ◽

Rare Case Report ◽

Follicular Carcinoma Thyroid

The thyroid gland, usually located below and anterior to the larynx, consists of two bulky lateral lobes connected by a relatively thin isthmus. The thyroid is divided by thin brous septae into lobules composed of about 20 to 40 evenly dispersed follicles, lined by a cuboidal to low columnar [1] epithelium, and lled with PAS-positive thyroglobulin. The thyroid secretes hormones that control the heart rate, blood pressure, body temperature and basal metabolic rate

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