Ganaha Sara, Grewal Sanjeet S, Cheshire William P, Reimer Ronald, Quiñones-Hinojosa Alfredo, Wharen Robert E
a Department of Neurosurgery , Mayo Clinic , Jacksonville , FL , USA.
b Department of Neurology , Mayo Clinic , Jacksonville , FL , USA.
Int J Neurosci. 2018 Dec;128(12):1204-1206. doi: 10.1080/00207454.2018.1486308. Epub 2018 Oct 30.
Glossopharyngeal neuralgia (GPN) is a condition characterised by sudden, severe pain in the distribution of the glossopharyngeal nerve. It can be triggered by talking, yawning, coughing and swallowing. Classically, patients experience a unilateral lancinating and excruciating pain described as electrical shock-like pain in the areas around the ear, tongue, or the mandibular angle. Uncommon manifestations include cardiac arrhythmias and syncope during pain episodes. Surgery is indicated in refractory cases. Bilateral GPN is rare, and definitive surgical treatment for bilateral GPN has not yet been reported. In this case report, a young woman with bilateral GPN who underwent staged surgery bilaterally is described. She did not develop life-threatening cardiac abnormalities postoperatively.
舌咽神经痛（GPN）是一种以舌咽神经分布区域突发剧痛为特征的疾病。说话、打哈欠、咳嗽和吞咽都可能引发疼痛。典型症状是患者会经历单侧的刺痛和剧痛，这种疼痛被描述为耳部、舌头或下颌角周围区域的电击样疼痛。罕见的表现包括疼痛发作时出现心律失常和晕厥。难治性病例需要进行手术治疗。双侧舌咽神经痛很少见，目前尚未有关于双侧舌咽神经痛确定性手术治疗的报道。在本病例报告中，描述了一名患有双侧舌咽神经痛的年轻女性，她接受了双侧分期手术。术后她并未出现危及生命的心脏异常情况。
