Xiong Nan-Xiang, Zhao Hong-Yang, Zhang Fang-Cheng, Liu Ru-En
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Stereotact Funct Neurosurg. 2012;90(1):45-50. doi: 10.1159/000333828. Epub 2012 Jan 14.
Microvascular decompression (MVD) and rhizotomy are all selected for treating vagoglossopharyngeal neuralgia (VGPN). Nonetheless, controversies still exist about their curative effect on VGPN. Here we evaluate the effectiveness of MVD together with rhizotomy of the glossopharyngeal nerve for the treatment of VGPN.
This study was carried out on 21 patients who were diagnosed with VGPN between the years 2005 and 2010. Patients underwent MVD and glossopharyngeal rhizotomy through a retromastoid keyhole approach. Surgical technique, operation results and complications were our particular concern.
Eighteen (85.7%) of 21 patients experienced immediate and complete relief of pain after surgery. In the remaining 3 patients (14.3%), the pain faded away within the following week. No patient complained of dysphonia or dysphagia. All 21 patients reported no change in their outcome at follow-up.
Intracranial vagoglossopharyngeal nerve MVD with glossopharyngeal rhizotomy is an effective and safe procedure to treat VGPN.
微血管减压术（MVD）和神经根切断术均被选用于治疗迷走舌咽神经痛（VGPN）。然而，关于它们对VGPN的治疗效果仍存在争议。在此，我们评估MVD联合舌咽神经切断术治疗VGPN的有效性。
本研究对2005年至2010年间诊断为VGPN的21例患者进行。患者通过乳突后锁孔入路接受MVD和舌咽神经根切断术。我们特别关注手术技术、手术结果及并发症。
21例患者中有18例（85.7%）术后疼痛立即完全缓解。其余3例患者（14.3%）疼痛在接下来的一周内消失。无患者主诉声音嘶哑或吞咽困难。所有21例患者在随访时均报告病情无变化。
颅内迷走舌咽神经MVD联合舌咽神经根切断术是治疗VGPN的一种有效且安全的手术方法。
