Journal of the Korean Society of Stereotactic and Functional Neurosurgery 2012;8(2):79-83.
Published online September 30, 2012.
Microvascular Decompression for Glossopharygeal Neuralgia-Clinical Analysis of 8 Cases
Young-Im Kim, Hye-Yoon Min, Young Hwan Ahn
Department of Neurosurgery, Ajou University School of Medicine, Suwon, Korea
Abstract
Objective
s : Glossopharyngeal neuralgia (GPN) is a very rare cranial rhizopathic condition, with only 0.2-1% incidence of that of trigeminal neuralgia. Treatment modalities for GPN include medications, Gamma knife radiosurgery, or microvascular decompression (MVD), but MVD is not much advocated due to its little success rate in literature.
Methods
: Eight patients with medically intractable GPN were enrolled and their symptoms were compared before and after MVD via lateral suboccipital infrafloccular approach.
Results
: All 8 patients had immediate relief of preoperative pain and their pain was not recurred during the median follow-up period of 42 months (18 months to 16 years). There was no surgical morbidity and mortality.
Conclusion
: This study sought to review outcomes of patients with GPN who underwent surgical treatment in a single institution, proving MVD to be a good therapeutic modality for intractable GPN.
Key Words: Microvascular decompression, Glossopharyngeal neuralgia, Teflon.


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