Amthor Karl-Friedrich, Eide Per Kristian
Nevrologisk avdeling, Volvat Medisinske Senter, 0303 Oslo.
Tidsskr Nor Laegeforen. 2003 Dec 4;123(23):3381-3.
Glossopharyngeal neuralgia is a rare but nevertheless important condition as it can be very incapacitating and as effective treatment is available.
We provide a review of the epidemiology, aetiology, differential diagnosis and treatment of this condition based on a Medline search.
Glossopharyngeal neuralgia is characterised by severe unilateral pain in the posterior pharynx, tonsillar fossa, and base of the tongue. It is commonly provoked by swallowing, talking and coughing. In most cases the condition is caused by compression of the nerve by an artery, usually the postero inferior cerebellar artery. Medical treatment with carbamazepin or gabapentin is considered first choice. In patients not responding to medical treatment, surgery should be considered; microvascular decompression is considered the first choice of surgical treatment.
舌咽神经痛虽罕见，但却是一种重要病症，因为它会使人极度丧失能力，不过有有效的治疗方法。
我们基于医学文献数据库检索，对该病症的流行病学、病因、鉴别诊断及治疗进行综述。
舌咽神经痛的特征是咽后部、扁桃体窝及舌根处出现严重的单侧疼痛。吞咽、说话及咳嗽常可诱发疼痛。在大多数情况下，该病由动脉压迫神经所致，通常是小脑后下动脉。首选卡马西平或加巴喷丁进行药物治疗。对药物治疗无反应的患者，应考虑手术治疗；微血管减压术被视为手术治疗的首选方法。
