Kuzucu Pelin, Türkmen Tolga, Ülkü Göktuğ, Yaman Mesut Emre, Aykol Şükrü
Department of Neurosurgery, Gazi University Faculty of Medicine, Ankara, Turkey.
Br J Neurosurg. 2023 Jun;37(3):309-312. doi: 10.1080/02688697.2020.1817317. Epub 2020 Sep 11.
Hyperactive dysfunction syndrome (HDS) is defined as symptoms arising from overactivities in cranial nerves, like trigeminal neuralgia (TN), hemifacial spasm (HFS), and glossopharyngeal neuralgia (GPN). A combination of these cranial nerve neuralgias, that might or might not occur in one or both sides, either synchronously, or metachronously is called combined hyperactive dysfunction syndrome (CHDS).
We presented a 73 years-old male patient with CHDS presenting with GPN as the initial symptom, with total relief from GPN, TN, and HFS after microvascular decompression. Up to date, only nine patients have been reported in the literature with symptomatic.
TN-HFS-GPN. Our case is the first case with GPN as the initial symptom. The combination of arterial and venous origin of the offending vessels makes the case picturesage.
多动功能障碍综合征（HDS）被定义为由颅神经活动过度引起的症状，如三叉神经痛（TN）、面肌痉挛（HFS）和舌咽神经痛（GPN）。这些颅神经神经痛的组合，可能发生在一侧或两侧，可能同时发生，也可能不同时发生，被称为联合多动功能障碍综合征（CHDS）。
我们报告了一名73岁的男性CHDS患者，最初症状为GPN，微血管减压术后GPN、TN和HFS完全缓解。截至目前，文献中仅报道了9例有症状的患者。
TN-HFS-GPN。我们的病例是首例以GPN为初始症状的病例。致病血管的动脉和静脉起源的组合使病例情况独特。
