Bruyn G W
Cephalalgia. 1983 Sep;3(3):143-57. doi: 10.1046/j.1468-2982.1983.0303143.x.
A review is presented of the clinical features of glossopharyngeal neuralgia, as analysed from 304 reported instances. The sex-ratio of the condition is equal, the peak-age at onset is between 40 and 60 yrs, and left-side involvement predominates in females. The clinical features are detailed in 18 specific items. In a review of the aetiology it is argued that the so-called "idiopathic" type of IXth nerve neuralgia (which, upon careful analysis, may still rest upon either an obscure tumor or infection or elongated styloid process) should be primarily attributed to vascular elongation and looping ("Jannetta mechanism"). The cardiovascular type of the neuralgia, with bradycardia, or asystole and convulsions or coma, receives special emphasis. The differential diagnosis, particularly in view of the not-infrequently occurring combination with trigeminal neuralgia, is set out briefly.
本文对304例报告病例分析得出的舌咽神经痛临床特征进行了综述。该病的性别比例均等，发病高峰年龄在40至60岁之间，女性左侧受累更为常见。临床特征在18项具体内容中详细阐述。在病因学综述中，有人认为所谓的第九对脑神经“特发性”神经痛（经仔细分析，可能仍基于不明肿瘤、感染或茎突过长）应主要归因于血管伸长和袢曲（“詹内塔机制”）。特别强调了伴有心动过缓、心脏停搏以及惊厥或昏迷的心血管型神经痛。简要阐述了鉴别诊断，尤其是考虑到与三叉神经痛合并发生的情况并不少见。
