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Microvascular Decompression Surgery for Glossopharyngeal Neuralgia

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Microvascular Decompression Surgery

Abstract

Glossopharyngeal neuralgia is characterized by paroxysmal attacks of severe pain involving the sensory distributions of the glossopharyngeal and vagus nerves. A rare manifestation is hemodynamic disturbance or syncope related to excessive vagal outflow. Analogous to trigeminal neuralgia, classical glossopharyngeal neuralgia is caused by pulsatile vascular compression upon the ninth and tenth cranial nerve rootlets as they emerge from the medulla, and microvascular decompression surgery is potentially curative. The surgery is particularly challenging due to the narrow operative corridor, complex neurovascular relationships, and relatively small caseload experience. Optimal surgical outcomes are, however, achieved with careful patient selection, thorough understanding of the microsurgical anatomy, and adherence to the well-established operative techniques.

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Acknowledgments

The authors wish to thank Mr. Jon Stepaniuk for excellent illustrations and Miss Kristi Allison and Miss Kirsten Dimacali for their assistance in the preparation of this manuscript.

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Authors and Affiliations

  1. Section of Neurosurgery, Centre for Cranial Nerve Disorders, University of Manitoba, Winnipeg, MB, Canada

    Anthony M. Kaufmann MD, MSc, BSc (Med), FRCSC

  2. Health Sciences Centre, Winnipeg Centre for Gamma Knife Surgery, GB-137, 820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada

    Anthony M. Kaufmann MD, MSc, BSc (Med), FRCSC

  3. Section of Neurosurgery, University of Manitoba, Winnipeg, MB, Canada

    Behzad Sabit MD

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  1. Anthony M. Kaufmann MD, MSc, BSc (Med), FRCSC
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Correspondence to Anthony M. Kaufmann MD, MSc, BSc (Med), FRCSC .

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Editors and Affiliations

  1. Shanghai, China

    Shi-Ting Li

  2. Dept. Neurosurgery, XinHua Hospital, Shanghai, China

    Jun Zhong

  3. UPMC Presbyterian Hospital, Pittsburgh, Pennsylvania, USA

    Raymond F. Sekula, Jr.

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Kaufmann, A.M., Sabit, B. (2016). Microvascular Decompression Surgery for Glossopharyngeal Neuralgia. In: Li, ST., Zhong, J., Sekula, Jr., R. (eds) Microvascular Decompression Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7366-9_9

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