Reoperation after failed microvascular decompression for glossopharyngeal neuralgia

2020 ◽  
Vol 162 (11) ◽  
pp. 2783-2789 ◽  
Author(s):  
Bing Ni ◽  
Yongsheng Hu ◽  
Tao Du ◽  
Xiaohua Zhang ◽  
Hongwei Zhu
Keyword(s):  
Microvascular Decompression ◽  
Glossopharyngeal Neuralgia

scholarly journals Concurrent Glossopharyngeal Neuralgia and Hemi-Laryngopharyngeal Spasm (HeLPS): A Case Report and a Review of the Literature

Neurosurgery ◽  
2019 ◽  
Vol 87 (5) ◽  
pp. E573-E577
Author(s):  
C Michael Honey ◽  
Marie T Krüger ◽  
Alan R Rheaume ◽  
Josue M Avecillas-Chasin ◽  
Murray D Morrison ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Microvascular Decompression ◽  
Medical Condition ◽  
Posterior Inferior Cerebellar Artery ◽  
Cranial Nerves ◽  
Conversion Disorder ◽  
Glossopharyngeal Neuralgia ◽  
Neurovascular Compression ◽  
Patient Reported

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.

MRI Findings and Outcomes in Patients Undergoing Microvascular Decompression for Glossopharyngeal Neuralgia

2018 ◽  
Vol 28 (5) ◽  
pp. 477-482 ◽  
Author(s):  
Ronak H. Jani ◽  
Marion A. Hughes ◽  
Zachary E. Ligus ◽  
Alexandra Nikas ◽  
Raymond F. Sekula
Keyword(s):  
Microvascular Decompression ◽  
Glossopharyngeal Neuralgia ◽  
Mri Findings

Microvascular Decompression for Glossopharyngeal Neuralgia

Neurosurgery ◽  
1995 ◽  
Vol 36 (1) ◽  
pp. 64???69 ◽  
Author(s):  
Daniel K. Resnick ◽  
Peter J. Jannetta ◽  
David Bissonnette ◽  
Hae Dong Jho ◽  
Giuseppe Lanzino
Keyword(s):  
Microvascular Decompression ◽  
Glossopharyngeal Neuralgia

Glossopharyngeal Neuralgia

2019 ◽  
pp. 23-30
Author(s):  
Oren Sagher
Keyword(s):  
Weight Loss ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Medical Management ◽  
Treatment Modality ◽  
Primary Treatment ◽  
Glossopharyngeal Neuralgia ◽  
Pain Condition ◽  
Primary Treatment Modality ◽  
Posterior Tongue

Glossopharyngeal neuralgia is an uncommon, but devastating pain condition. It shares many features with trigeminal neuralgia, but predominantly affects the posterior tongue and pharynx. Since glossopharyngeal neuralgia pain is frequently triggered by swallowing or movement of the tongue, patients frequently present with weight loss and dehydration. This chapter describes the classic features of this condition, including its association with syncope. The medical management of glossopharyngeal neuralgia is outlined as a primary treatment modality. Surgical considerations are also described, including microvascular decompression or sectioning of the glossopharyngeal nerve. Surgical pearls for both of these procedures are outlined, as well as strategies for complication avoidance and management.

Microvascular decompression of cranial nerves: lessons learned after 4400 operations

1999 ◽  
Vol 90 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Mark R. McLaughlin ◽  
Peter J. Jannetta ◽  
Brent L. Clyde ◽  
Brian R. Subach ◽  
Christopher H. Comey ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Trigeminal Neuralgia ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Cranial Nerve ◽  
Glossopharyngeal Neuralgia ◽  
Complication Rates ◽  
Content Type ◽  
Csf Leakage ◽  
Fine Print

Object. Microvascular decompression has become an accepted surgical technique for the treatment of trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, and other cranial nerve rhizopathies. The senior author (P.J.J.) began performing this procedure in 1969 and has performed more than 4400 operations. The purpose of this article is to review some of the nuances of the technical aspects of this procedure.Methods. A review of 4415 operations shows that numerous modifications to the technique of microvascular decompression have occurred during the last 29 years. Of the 2420 operations performed for trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia before 1990, cerebellar injury occurred in 21 cases (0.87%), hearing loss in 48 (1.98%), and cerebrospinal fluid (CSF) leakage in 59 cases (2.44%). Of the 1995 operations performed since 1990, cerebellar injuries declined to nine cases (0.45%), hearing loss to 16 (0.8%), and CSF leakage to 37 (1.85% p < 0.01, test for equality of distributions). The authors describe slight variations made to maximize surgical exposure and minimize potential complications in each of the six principal steps of this operation. These modifications have led to decreasing complication rates in recent years.Conclusions. Using the techniques described in this report, microvascular decompression is an extremely safe and effective treatment for many cranial nerve rhizopathies.

Intraoperative Neurophysiological Monitoring of Microvascular Decompression for Glossopharyngeal Neuralgia

2014 ◽  
Vol 31 (4) ◽  
pp. 337-343 ◽  
Author(s):  
Miguel E. Habeych ◽  
Donald J. Crammond ◽  
Paul Gardner ◽  
Parthasarathy D. Thirumala ◽  
Michael B. Horowitz ◽  
...  
Keyword(s):  
Microvascular Decompression ◽  
Glossopharyngeal Neuralgia ◽  
Intraoperative Neurophysiological Monitoring ◽  
Neurophysiological Monitoring

Microvascular Decompression for Treating Glossopharyngeal Neuralgia Complicated by Sick Sinus Syndrome

2000 ◽  
Vol 142 (3) ◽  
pp. 351-352 ◽  
Author(s):  
Y. Nishikawa ◽  
M. Suzuki ◽  
N. Kuwata ◽  
A. Ogawa
Keyword(s):  
Microvascular Decompression ◽  
Sick Sinus Syndrome ◽  
Glossopharyngeal Neuralgia
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