Akay Ali, Rükşen Mete, İşlekel Sertaç
Department of Neurosurgery, Kent Hospital, İzmir, Turkey.
Asian J Neurosurg. 2018 Apr-Jun;13(2):525-527. doi: 10.4103/1793-5482.180890.
Vascular compression has been reported to be the most common reason for vago-glossopharyngeal neuralgia (VGN). The treatment may include medications, ganglion blockade with a radiofrequency ablation, and microvascular decompression (MVD). A review of the literature reveals that VGN may develop due to choroid plexus compression, and the number of reported cases is very limited. The current case is the fifth in the relevant literature. In this paper, choroid plexus compression has been shown intraoperatively during the treatment of rare idiopathic VGN using MVD. Complaints of the patient have been resolved following the choroid plexus excision.
据报道,血管压迫是迷走神经 - 舌咽神经痛(VGN)最常见的原因。治疗方法可能包括药物治疗、射频消融神经节阻滞和微血管减压术(MVD)。文献综述显示,VGN可能由于脉络丛受压而发生,且报道的病例数量非常有限。本病例是相关文献中的第五例。本文展示了在使用MVD治疗罕见的特发性VGN过程中,术中发现脉络丛受压。切除脉络丛后患者的症状得到缓解。