Martínez-González José María, Martínez-Rodríguez Natalia, Calvo-Guirado Jose Luis, Brinkmann Jorge Cortés-Bretón, Dorado Cristina Barona
School of Dentistry, Complutense University of Madrid, Madrid, Spain.
J Oral Maxillofac Surg. 2011 Jun;69(6):e38-41. doi: 10.1016/j.joms.2010.09.011. Epub 2011 Jan 26.
The aim of this study was to present a series of clinical cases on glossopharyngeal neuralgia as well as the therapeutic approach used.
This observational, descriptive, and retrospective study was carried out on 14 patients who were diagnosed with glossopharyngeal neuralgia between the years 1997 and 2007 at the Oral-Facial and Implant Surgery Department and at the Otorhinolaryngology, Neurology, and Neurosurgery Departments of the Madrid University Hospital.
The study consisted of 8 women and 6 men. The neuralgia was found predominantly on the left side, and considering the 4 areas of topographical distribution into which the distribution of the ninth nerve is divided, the results of our study showed that the maximum of the areas affected was 3, with 2 areas being the most common. Accompanying symptoms were only recorded in 4 of the cases. In 12 of the cases, initial treatment was with prescription drugs consisting of different doses of carbamazepine. In the remaining cases, or once the other course of treatment was proven to be unsuccessful, surgical treatment was used, applying different techniques and obtaining a high rate of success with them.
Glossopharyngeal neuralgia is an uncommon pathology that is treated with medicine or surgery, with carbamazepine and vascular microdecompression being the treatments of choice.
本研究旨在呈现一系列舌咽神经痛临床病例以及所采用的治疗方法。
本观察性、描述性及回顾性研究针对1997年至2007年间在马德里大学医院口腔颌面与种植外科、耳鼻喉科、神经科及神经外科被诊断为舌咽神经痛的14例患者开展。
该研究包括8名女性和6名男性。神经痛主要发生在左侧，按照第九神经分布所划分的4个地形分布区域来看，我们的研究结果显示，受影响区域最多为3个，其中2个区域最为常见。仅4例记录了伴随症状。12例患者最初采用不同剂量卡马西平的处方药治疗。其余病例，或一旦证明其他治疗方法无效，则采用手术治疗，应用不同技术并取得了较高成功率。
舌咽神经痛是一种罕见病症，可通过药物或手术治疗，卡马西平和血管显微减压术为首选治疗方法。
