Surgery for idiopatic glossopharyngeal neuralgia – case report and overview of therapeutic modalities

2021 ◽  
Vol 84/117 (4) ◽  
Author(s):  
Vladimír Přibáň ◽  
Jiří Dostál ◽  
Jan Mraček ◽  
Irena Holečková ◽  
David Štěpánek
Keyword(s):  
Case Report ◽  
Glossopharyngeal Neuralgia ◽  
Therapeutic Modalities

scholarly journals Concurrent Glossopharyngeal Neuralgia and Hemi-Laryngopharyngeal Spasm (HeLPS): A Case Report and a Review of the Literature

Neurosurgery ◽  
2019 ◽  
Vol 87 (5) ◽  
pp. E573-E577
Author(s):  
C Michael Honey ◽  
Marie T Krüger ◽  
Alan R Rheaume ◽  
Josue M Avecillas-Chasin ◽  
Murray D Morrison ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Microvascular Decompression ◽  
Medical Condition ◽  
Posterior Inferior Cerebellar Artery ◽  
Cranial Nerves ◽  
Conversion Disorder ◽  
Glossopharyngeal Neuralgia ◽  
Neurovascular Compression ◽  
Patient Reported

Abstract BACKGROUND AND IMPORTANCE Hemi-laryngopharyngeal spasm (HeLPS) has been recently described but is not yet widely recognized. Patients describe intermittent coughing and choking and can be cured following microvascular decompression of their Xth cranial nerve. This case report and literature review highlight that HeLPS can co-occur with glossopharyngeal neuralgia (GN) and has been previously described (but not recognized) in the neurosurgical literature. CLINICAL PRESENTATION A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS. CONCLUSION This review highlights that patients with symptoms compatible with HeLPS have been reported since 1926 in at least 4 languages. This additional evidence supports the growing recognition that HeLPS is another neurovascular compression syndrome. Patients with HeLPS continue to be misdiagnosed as conversion disorder. The increased recognition of this new medical condition will require neurosurgical treatment and should alleviate the suffering of these patients.

scholarly journals Ganglioneuroma of Glossopharyngeal Nerve in a Patient with Glossopharyngeal Neuralgia: A Case Report

2020 ◽  
Vol 7 (3) ◽  
pp. 117-120
Author(s):  
Forhad H Chowdhury ◽  
Jalal Uddin Mohammod Rumi ◽  
Farhanaz Zainab ◽  
Maliha Hakim
Keyword(s):  
Case Report ◽  
Glossopharyngeal Nerve ◽  
Glossopharyngeal Neuralgia

scholarly journals Isolated lichen planus of the lips: cases reports and literature review

2020 ◽  
Vol 26 (2) ◽  
pp. 14
Author(s):  
Maroua Garma ◽  
Wafa Hasni ◽  
Bechir Annabi ◽  
Badreddine Sriha ◽  
Souha Boudegga ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Histological Examination ◽  
Lichen Planus ◽  
Case Reports ◽  
Dermatology Department ◽  
Lower Lip ◽  
Therapeutic Modalities ◽  
Rare Lesion ◽  
Male Patients

Introduction: Lichen planus is an inflammatory mucocutaneous dermatosis involving skin, appendages and mucosa. Oral mucosa is the most commonly involved in all its sites, rarely the lips especially when isolated. The aim was to conduct a literature review about isolated lichen planus of the lips and reporting two case reports of this lesion in order to highlight epidemiologic, clinical and histological features and therapeutic modalities of this lesion. Observations: Case report 1: a 34-year-old diabetic male patient consulted for an erosive, crusted and hemorrhagic cheilitis of the lower lip. Clinical and histological examination led to the diagnosis of isolated lichen planus of the lips. Case report 2: a 33-year-old female patient was referred from dermatology department for biopsy of chronic cheilitis of the lower lip. Clinical and histological examination confirmed the diagnosis of isolated lichen planus of the lips. Discussion: The review based on 34 case reports of isolated lichen planus of the lips, in addition to literature data confirmed that it is a benign rare lesion affecting mostly male patients having middle age with preponderance of the lower lip, its erosive form is the most frequent and it presents a favorable healing with topical treatment particularly corticosteroids.

Superior Cluneal Neuralgia from Iliocostal Impingement Treated with Phenol Neurolysis: A Case Report

2020 ◽  
pp. 77-84
Author(s):  
Heath McAnally
Keyword(s):  
Case Report ◽  
Iliac Crest ◽  
Column Height ◽  
Height Loss ◽  
Costal Margin ◽  
Buttock Pain ◽  
Severe Scoliosis ◽  
Therapeutic Modalities ◽  
Graft Harvest ◽  
Gluteal Pain

Background: Superior cluneal neuralgia (SCN) is an increasingly recognized yet still frequently overlooked cause of chronic lumbosacral and buttock pain. While historically attributed generally to iatrogenic iliac crest injury (bone marrow biopsy or bone graft harvest), more recently it is recognized as occurring in the absence of any trauma, with idiopathic entrapment resulting in compression neuropathy. Iliocostal impingement syndrome (IIS) is an even less commonly considered condition whereby the lower costal margin repetitively contacts and irritates the iliac crest, primarily occurring unilaterally and owing to severe scoliosis, but also in the context of severe vertebral column height loss. Case Report: We report here a case of an elderly woman with a 3-inch reported height loss over the decades who had suffered with chronic and intractable right lumbosacral and gluteal pain, and whom, on the basis of physical examination, we diagnosed presumptively with both SCN and with IIS as the underlying pathophysiologic mechanism. After undergoing successful diagnostic fluoroscopically guided superior cluneal nerve block, she was offered phenol denervation and enjoyed 9 months of reported 90% improvement in her symptoms, with gradual return to baseline over the next couple months. She has subsequently undergone repeat phenol denervation twice, with similarly good results. We believe this to be the first documented application of phenol neurolytic technique to SCN, and in the case of iliocostal impingement we argue that surgical release/resection or even peripheral nerve stimulation may not be effective owing to underlying compression/irritation diathesis from the inevitable pressure of the costal margin upon the iliac crest. Conclusion: In this case report, we also briefly summarize the current literature on SCN and compare phenol neurolysis to other therapeutic modalities. Key words: Superior cluneal nerves, neuralgia, iliocostal impingement, phenol, denervation

scholarly journals Glossopharyngeal Neuralgia. A case report.

2016 ◽  
pp. S23-23
Author(s):  
A Maidagan Valderrama ◽  
N Cano Gomez ◽  
C Belarra Arenas ◽  
J Santos Marino ◽  
L Rubio Alonso ◽  
...  
Keyword(s):  
Case Report ◽  
Glossopharyngeal Neuralgia

Glossopharyngeal neuralgia associated with an autoimmune disorder of the thyroid gland. Case report

1990 ◽  
Vol 13 (4) ◽  
pp. 321-323
Author(s):  
Robert Karwasz ◽  
Klaus Berger ◽  
Horst Przuntek
Keyword(s):  
Case Report ◽  
Thyroid Gland ◽  
Autoimmune Disorder ◽  
Glossopharyngeal Neuralgia

scholarly journals Strangulated lumber hernias in adults: A case report and review of the literature

2016 ◽  
Vol 98 (8) ◽  
pp. e160-e161 ◽  
Author(s):  
I Ka ◽  
ML Gueye ◽  
O Thiam ◽  
LG Akpo ◽  
AO Toure
Keyword(s):  
Case Report ◽  
Male Patient ◽  
Preoperative Diagnosis ◽  
Rare Condition ◽  
Lumbar Hernia ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Management Guideline ◽  
Therapeutic Modalities ◽  
Specific Management

Strangulated lumbar hernia is a very rare condition, with no more than 30 cases reported in the literature so far. Therefore, there is no specific management guideline and the diagnosis remains difficult. By reporting the case of a Senegalese male patient who had a preoperative diagnosis of strangulated lumbar hernia, we aim to discuss the diagnosis and therapeutic modalities of this rare entity, which is often misdiagnosed.

scholarly journals Loco-Regional BCGitis Revealing a HIV Infection in an Infant: A Case Report

2019 ◽  
Vol 11 (1) ◽  
pp. 13-16
Author(s):  
Ibtissam Khattou ◽  
Ouidad Louachama ◽  
Noureddine Rada ◽  
Ghizlane Draiss ◽  
Mohammed Bouskraoui
Keyword(s):  
Case Report ◽  
Hiv Infection ◽  
Immune Status ◽  
Bcg Vaccine ◽  
Therapeutic Modalities ◽  
Specific Complication ◽  
Disseminated Disease

The BCG disease is a specific complication of the Bacille Calmette and Guerin (BCG) vaccine. It is often in the form of benign local BCGitis, however the BCGosis is a lethal disseminated disease that can occur in a patient with immunodeficiency. The prognosis depends on the immune status of the patient, and the quality of management. Therapeutic modalities are very controversial. In this article, the authors report a case of loco-regional BCGitis revealing an HIV infection.

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