caa a22 4500 606216502 CHVBK 20210128101103.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s00701-014-2302-7 doi (NATIONALLICENCE)springer-10.1007/s00701-014-2302-7 Vago-glossopharyngeal neuralgia: a literature review of neurosurgical experience [Elektronische Daten] [Jianqing Chen, Marc Sindou] Glossopharyngeal neuralgia (GPN), or better named vago-glossopharyngeal neuralgia (VGPN), is a rare disorder amounting to 1% of the incidence of trigeminal neuralgia (TN). Pain is paroxysmal, of the electrical shooting type, and mainly provoked by stimulation of the pharynx or deep throat, especially during swallowing. Due to its rarity, VGPN is often misdiagnosed. The front line of medical treatment is based on anticonvulsants. Surgery should be considered when the pain is refractory to medications. In most patients, the cause is neurovascular conflict on root entry zone (REZ) or midcistern portion, of the IXth and/or Xth cranial nerves. Compressive vessels can be evidenced by means of a high sensibility and a high specificity resolution MR imaging in most centers. Present consensus is that the first option of neurosurgical treatment be microvascular decompression. In patients with precarious general conditions, stereotactic radiosurgery may be considered. Also, thermo-rhizotomy at the pars nervosa of foramen jugularis or tractotomy-nucleotomy at brainstem may be alternatives, but these methods entail a significant risk of deficits. In this article, the authors reviewed the main literature series on neurosurgical treatments of this disease. Springer-Verlag Wien, 2014 Glossopharyngeal neuralgia nationallicence Glossopharyngeal nerve nationallicence Vagus nerve nationallicence Microvascular decompression nationallicence Thermo-rhizotomy nationallicence Trigeminal tractotomy-nucleotomy nationallicence Stereotactic radiosurgery nationallicence Neurovascular conflicts nationallicence Chen Jianqing Department of Neurosurgery, Hopital Renji, University of Jiaotong Shanghai, Building 7, 160 Pujian Road, 200127, Shanghai, China aut Sindou Marc Department of Neurosurgery A, Hopital neurologique Pierre Wertheimer, University of Lyon I, GHE, 59, Boulevard Pinel, 69003, Lyon, France aut Acta Neurochirurgica Springer Vienna 157/2(2015-02-01), 311-321 0001-6268 157:2<311 2015 157 701 https://doi.org/10.1007/s00701-014-2302-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-014-2302-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chen Jianqing Department of Neurosurgery, Hopital Renji, University of Jiaotong Shanghai, Building 7, 160 Pujian Road, 200127, Shanghai, China aut NATIONALLICENCE 700 1- Sindou Marc Department of Neurosurgery A, Hopital neurologique Pierre Wertheimer, University of Lyon I, GHE, 59, Boulevard Pinel, 69003, Lyon, France aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/2(2015-02-01), 311-321 0001-6268 157:2<311 2015 157 701