King J
Department of Neurology, Royal Melbourne Hospital, Vic.
Clin Exp Neurol. 1987;24:113-21.
Nine cases of glossopharyngeal neuralgia have been seen in the last 5 years and are reported. They fall into 2 groups, namely otitic and oropharyngeal, according to the initial location of pain. The condition is probably more common than is recognised, largely because there are diagnostic difficulties with the otitic form where the pain radiates widely into the distribution of the trigeminal nerve and also into upper cervical dermatomes. The pain is more variable than that seen in trigeminal neuralgia but usually responds initially to carbamazepine. The results from surgical section of the ninth and the upper rootlets of the tenth nerve have been good. The clues to the diagnosis are the initial site of the pain in the oropharynx and in or around the ear, the characteristics of the pain and its triggering factors, and a response to carbamazepine.
过去5年共诊治9例舌咽神经痛患者并予以报道。根据疼痛起始部位，这些病例分为两组，即耳性和口咽性。该病可能比目前所认识到的更为常见，主要是因为耳性舌咽神经痛存在诊断困难，其疼痛广泛放射至三叉神经分布区及上颈段皮节。与三叉神经痛相比，舌咽神经痛的疼痛表现更为多样，但通常最初对卡马西平有反应。对第9对脑神经及第10对脑神经上部神经根进行手术切断，效果良好。诊断线索包括口咽部及耳内或耳周疼痛的起始部位、疼痛特点及其诱发因素，以及对卡马西平的反应。
