The Clinical Characteristics and Surgical Treatment of Glossopharyngeal Neuralgia With Pain Radiating to the Innervated Area of the Trigeminal Nerve

2020 ◽  
Author(s):  
Xiaosong Wang ◽  
Dawei Meng ◽  
Lin Wang ◽  
Guoqiang Chen
Keyword(s):  
Surgical Treatment ◽  
Trigeminal Nerve ◽  
Clinical Characteristics ◽  
Glossopharyngeal Neuralgia

scholarly journals Disease of lower cranial nerves caused by vascular compression

2008 ◽  
Vol 55 (2) ◽  
pp. 27-31 ◽  
Author(s):  
B.D. Antic ◽  
P. Peric ◽  
S.Lj. Stefanovic
Keyword(s):  
Surgical Treatment ◽  
Cranial Nerves ◽  
Postoperative Outcome ◽  
Glossopharyngeal Neuralgia ◽  
Statistic Analysis ◽  
Vascular Compression ◽  
Excellent Outcome ◽  
Surgical Options ◽  
Lower Cranial Nerves ◽  
Surgical Option

Between April 1989 and September 2007, 181 patients with disease of lower cranial nerves (DLCN) underwent posterior fossa exploration. As a cause of DLCN, vascular compression (VC) was present in 89 patients with trigeminal neuralgia (TN), in 6 with hemifacial spasm (HFS), in 1 with glossopharyngeal neuralgia, in 1 with Meniere?s disease, and in 5 with multiple DLCN. Depending on intraoperative findings, different surgical options were used: microvascular decompression (MVD), MVD with partial sensory rhizotomy (PSR) or total sensory rhizotomy (TSR). Statistic analysis was made using the Fisher?s exact 2-side test. In patients with TN, excellent outcome was archived in 83 patients and good in 6. Postoperative outcome was better (p = 0.007) in cases with severe VC, but without significant correlation between used surgical option and outcome (p = 0.402). Frequency rate of relapses did not depend on severity of VC (p = 0.502) and used surgical option (p = 0.175). In 6 patients with HFS, excellent outcome was archived in 5 with arterial compression and poor in 1 with venous contact. In patients with Meniere?s disease and glossopharyngeal neuralgia, MVD result with excellent outcome. In 5 patients with multiple DLCN, excellent outcome was archived in 3 and good in 2. MVD is method of choice in surgical treatment of DLCN caused by VC. Overall outcome is better with severity of VC.

scholarly journals Surgical Correction of Penoscrotal Web: A Case Series With Literature Review

2020 ◽  
Author(s):  
Volkan Sarper Erikçi
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Surgical Techniques ◽  
Case Series ◽  
Scrotal Skin ◽  
Penile Skin ◽  
Surgical Experience ◽  
Postoperative Results ◽  
Pediatric Urologist

INTRODUCTION: Penoscrotal webbing (PSW) is an anomaly of penis and it includes penile and scrotal skin aberration. There are various surgical techniques for repairing PSW with different terminologies. Herein we present our surgical experience of Z-plasty procedure in these cases. METHODS: In this retrospective study, 5 patients with an average age of 46 months who were diagnosed and under follow-up for PSW, between June 2017 and May 2019 were included. Along with demographic and clinical characteristics, treatment and follow-up records were collected. RESULTS: Isolated PSW was observed in 4 patients and one patient had an associated megameatus intact prepuce (MMIP) of a hypospadias variant in addition to PSW. Circumcision and ventral prepuce reconstruction of the penis with the aid of "Z-plasty" solved problem and acceptable postoperative results were obtained. DISCUSSION AND CONCLUSION: PSW is a condition that warrants surgical treatment. During the management of these children, in the case of suspicion of penile skin abnormality at the time of circumcision, it should be deferred and should be consulted to a pediatric surgeon or a pediatric urologist. Gentle surgical treatment is recommended for a favourable surgical and psychological result

Clinical characteristics and surgical treatment outcomes of vallecular cysts in adults

2015 ◽  
Vol 135 (11) ◽  
pp. 1185-1188 ◽  
Author(s):  
Dong Hoon Lee ◽  
Tae Mi Yoon ◽  
Joon Kyoo Lee ◽  
Sang Chul Lim
Keyword(s):  
Surgical Treatment ◽  
Treatment Outcomes ◽  
Clinical Characteristics

scholarly journals Clinical Characteristics of Patients with Trigeminal Neuralgia Referred to Neurosurgery

2009 ◽  
Vol 03 (03) ◽  
pp. 207-212 ◽  
Author(s):  
Silvia RDT Siqueira ◽  
Manoel J Teixeira ◽  
José TT Siqueira
Keyword(s):  
Surgical Treatment ◽  
Trigeminal Neuralgia ◽  
Clinical Characteristics ◽  
Orofacial Pain ◽  
Cardiac Diseases ◽  
Systemic Diseases ◽  
Pain Questionnaire ◽  
Neurological Findings ◽  
Neurological Abnormalities ◽  
The Right

ABSTRACTObjectives: To investigate the clinical characteristics of patients with trigeminal neuralgia referred to surgery in a center of reference.Methods: We evaluated the general characteristics of 395 patients with trigeminal neuralgia referred to neurosurgery as treatment. They corresponded to 2 samples of 1984 and 2004. The EDOFHC protocol (Orofacial Pain Questionnaire) and the medical profile were used.Results: In the first study (1984), with 290 patients, the higher prevalence was: women (57.3%), white (95.5%), with mean age of 62.5. The most affected trigeminal branches were the maxillary and / or mandibular branches (65.5%), and the right side was the most affected (57.6%). From the second study (2004), with 105 patients, 57.1% were women, 75.2% white, with a mean age of 60.8. The maxillary and / or mandibular branches (79.0%) and the right side (69.5%) were the most affected. Both samples had neurological abnormalities and systemic diseases (mainly cardiovascular).Conclusions: General characteristics of these patients were similar to other samples of trigeminal neuralgia. Neurological findings were also present in patients with no previous surgical treatment for TN. Hypertension and cardiac diseases were also frequent and make the monitoring of the patients during crises necessary. (Eur J Dent 2009;3:207-212)

Radiofrequency Coagulation of the Petrous Ganglion in Glossopharyngeal Neuralgia

Neurosurgery ◽  
1979 ◽  
Vol 4 (6) ◽  
pp. 512-516 ◽  
Author(s):  
Yves Lazorthes ◽  
Jean-Claude Verdie
Keyword(s):  
Surgical Treatment ◽  
Glossopharyngeal Neuralgia ◽  
Intractable Pain ◽  
Gasserian Ganglion ◽  
Radiofrequency Coagulation ◽  
Time Of Operation ◽  
Oral Area ◽  
Initial Results

abstract In this communication the authors describe a method for the surgical treatment of glossopharyngeal neuralgia by percutaneous radiofrequency coagulation of Andersch's petrous ganglion. The report is of the initial results in 12 cases, including 1 case of primary glossopharyngeal neuralgia. The usual indication for the procedure is intractable pain due to local neoplasia of the oral area. At the time of operation complementary radiofrequency coagulation of both the gasserian ganglion and the cervical radicular nerves can also be carried out.

A Retrospective Analysis of Gastric Diffuse Large B-Cell Lymphoma with or without MALT Component

Blood ◽  
2012 ◽  
Vol 120 (21) ◽  
pp. 4856-4856
Author(s):  
Xiaowu Li ◽  
Bing Xia ◽  
Shanqi Guo ◽  
Eduardo M. Sotomayor ◽  
Yong Yu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
B Cell ◽  
Clinical Characteristics ◽  
De Novo ◽  
Cell Lymphoma ◽  
B Cell Lymphoma ◽  
Advanced Stage ◽  
Large B Cell Lymphoma ◽  
H Pylori ◽  
Large B Cell

Abstract Abstract 4856 Background: The aim of this study was to evaluate the clinical characteristics, prognostic factors and survival outcomes of patients with gastric diffuse large B-cell lymphoma (DLBCL). Patients and methods: 162 patients with gastric DLBCL were evaluated retrospectively. Comparisons were made between patients of gastric DLBCL with component of mucosa-associated lymphoid tissue lymphoma (DLBCL/MALT) and patients of gastric DLBCL without detectable MALT component (de novo DLBCL). Results: Results according to the distribution of sex, age, stage, performance status, and other clinical characteristics were similar between de novo DLBCL group and DLBCL/MALT group (p>0.05). The ratio of patients with the germinal center B-cell-like (GCB) subtype to non-GCB subtype did not differ significantly between the two groups (1:1.1 versus 1:1.6, p=0.319). However, the proportion of patients with the stage-modified international prognostic index (m-IPI) ≥2 was higher in DLBCL/MALT groups (18%) than taht in de novo DLBCL groups (34%) (p=0.026). In addition, the H. pylori infection rate was 75% in DLBCL/MALT versus 38% in de novo DLBCL (p<0.001). Patients with de novo DLBCL have better 5-year PFS and OS estimates than those DLBCL/MALT patients (p=0.037 and 0.019 for the 5-year PFS and OS estimates, respectively). Surgical treatment did not offer survival benefit when compared with chemotherapy (p=0.405 and 0.065 for the 5-year PFS and OS estimates, respectively). Multivariate analysis revealed that non-GCB classification and m-IPI≥2 were independently associated with shorter OS and advanced stage was independently associated with shorter PFS. Conclusion: Gastric DLBCL is a heterogeneous disease that included de novo DLBCL and DLBCL/MALT lymphoma. Compared with the former, the latter has a higher H. pylori infection rate. And what's more, the proportion of patients with m-IPI≥2 is higher in DLBCL/MALT groups. De novo DLBCL was associated with higher 5-year PFS and OS estimates. Non-surgical treatment should be a primary consideration for gastric DLBCL. Immunophenotype classification and m-IPI were the most reliable factors for OS, and advanced stage was for PFS. Disclosures: No relevant conflicts of interest to declare.

Pediatric intracranial aneurysms—clinical characteristics and outcome of surgical treatment

2006 ◽  
Vol 23 (3) ◽  
pp. 327-333 ◽  
Author(s):  
B. S. Sharma ◽  
Sumit Sinha ◽  
V. S. Mehta ◽  
A. Suri ◽  
Aditya Gupta ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Intracranial Aneurysms ◽  
Clinical Characteristics
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