Journal of Japan Society of Pain Clinicians
Online ISSN : 1884-1791
Print ISSN : 1340-4903
ISSN-L : 1340-4903
Effective treatment with microvascular decompression for refractory glossopharyngeal neuralgia that recurred after 10 years: a case report
Tomoki MATSUYAMAMasato OTAWARyo YAMAMOTOMasashi ITOKenichi WAKABAYASHIHirofumi OYAMA
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2021 Volume 28 Issue 11 Pages 214-217

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Abstract

A 51-year-old man who presented with persistent pain in the left mandible at our hospital was diagnosed with trigeminal neuralgia in the otolaryngology department. Ten years later, he relapsed. A close examination revealed that the glossopharyngeal neuralgia was caused by the left anterior inferior cerebellar artery. Owing to drug resistance, he was referred to our department and underwent microvascular decompression via left lateral suboccipital craniotomy. The left anterior inferior cerebellar artery was fixed to the pyramidal bone, and its contact with the glossopharyngeal nerve was released. No postoperative complications were observed, and the left mandibular pain promptly disappeared. No recurrence was observed at the 6-month follow-up.

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© 2021 Japan Society of Pain Clinicians
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