Neuralgia of the glossopharyngeal and vagal nerves: long-term outcome following surgical treatment and literature review

Sri R. Kandan, Sadaquate Khan, Deva S. Jeyaretna, Samden Lhatoo, Nikunj K. Patel, Hugh B. Coakham

Research output: Contribution to journalArticlepeer-review

69 Citations (Scopus)

Abstract

This study describes our experience in the surgical treatment of neuralgia of the glossopharyngeal and vagal nerves. Over the last 19 years, 21 patients underwent surgery. Their case notes were reviewed to obtain demographic information, clinical presentation, surgical findings and early results. All patients were then contacted by telephone for long-term results and complications. Independent analysis of results was carried out by a Neurology team. Ten patients had microvascular decompression (MVD). Four patients had MVD and nerve section. In the remaining seven patients, the glossopharyngeal and first two rootlets of the vagal nerve were sectioned. Nineteen (90%) of 21 patients experienced complete relief of pain immediately after surgery. The remaining patients reported an improvement in their symptoms. There were no mortalities. Four patients experienced short-term complications, which resolved. Two patients were left with a persistent hoarse voice. At follow-up (mean duration of 4 years), there was no recurrence in symptoms. In our experience, surgery is safe and effective for the treatment of vago-glossopharyngeal neuralgia.
Original languageEnglish
Pages (from-to)441-446
Number of pages6
JournalBritish Journal of Neurosurgery
Volume24
Issue number4
Early online date20 Aug 2010
DOIs
Publication statusPublished - 2010

Keywords

  • Glossopharyngeal neuralgia
  • Vagal neuralgia
  • Surgical treatment
  • Microvascular decompression
  • Outcome

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