[Improvement of diagnosis and treatment of glossopharyngeal neuralgia].
Differential diagnosis of neuralgias affecting the cranial nerves and of facial pain is often difficult. Glossopharyngeal neuralgia is much less common than trigeminal neuralgia and is not well known. Idiopathic neuralgia of the glossopharyngeal nerve sometimes occurs in association with neurovascular compression syndrome of the vagus and trigeminal nerves. High-resolution MRI of the brain stem with three-dimensional visualization allows a secure diagnosis of neurovascular compression and is useful in the planning of appropriate microsurgical decompression (Jannetta's operation).
Gaul
C
C
Klinik und Poliklinik für Neurologie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Strasse 40, 06097, Halle, Saale, Germany. Charly.Gaul@gmx.de
Hastreiter
P
P
Duncker
A
A
Naraghi
R
R
D000367:Age Factors; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D005260:Female; D005930:Glossopharyngeal Nerve; D020435:Glossopharyngeal Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000150:complications* / Q000601:surgery; D015995:Prevalence; D012737:Sex Factors; D016896:Treatment Outcome