Boch A L, Oppenheim C, Biondi A, Marsault C, Philippon J
Service de Neurochirurgie 2, Groupe Hospitalier Pitié-Salpétrière, Paris.
Acta Neurochir (Wien). 1998;140(8):813-8. doi: 10.1007/s007010050183.
We report two cases of glossopharyngeal neuralgia associated with a vascular loop of the postero-inferior cerebellar artery, diagnosed by magnetic resonance imaging. Reviewing the literature, we found this to be the first report of a magnetic resonance-validated vascular abnormality related to such a condition. One patient was cured by surgical decompression, confirming the role of the abnormal vessel in the pain. As with trigeminal neuralgia, a possible vascular aetiology should be considered in glossopharyngeal neuralgia.
我们报告了两例经磁共振成像诊断为与小脑后下动脉血管袢相关的舌咽神经痛病例。查阅文献后，我们发现这是第一份经磁共振证实的与该病症相关的血管异常报告。一名患者通过手术减压治愈，证实了异常血管在疼痛中的作用。与三叉神经痛一样，舌咽神经痛应考虑可能的血管病因。
