Glossopharyngeal Neuralgia: Causes and Treatment
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Glossopharyngeal Neuralgia — it attacks of paroxysmal pain like trigeminal neuralgia, but the localization of the pain occurs at the root of tongue, pharynx and soft palate area. It provokes the slightest stimuli, exhausting the patient and requires the intervention of doctors. There is this pathology is rare, while men suffer more than women. The disease occurs over the age of 40 years.
Glossopharyngeal Neuralgia: Causes
Provided are two forms of Glossopharyngeal Neuralgia:
- primary or idiopathic form, the reasons for its not exactly set,
- secondary or symptomatic neuralgia, occurs as a result of atherosclerosis, angina and chronic tonsillitis, flu, intoxication, lead poisoning. Glossopharyngeal Neuralgia may result in nerve injury tonsil bed too long styloid process, shilopodyazychnoy ossification of ligaments, the development of tumors, aneurysms of the carotid artery, or larynx cancer.
Glossopharyngeal Neuralgia: Clinical picture
The first clinically manifest disease symptoms of pain, there is a sharp pain attacks lasting up to several minutes. Localization of pain — root of the tongue and tonsils, with the spread on the ear and the throat, in the region of the mandibular angle, neck and eyes. Provoke attacks of pain are movements of the tongue, taking hot or cold products, active stimulation of the tonsils or the base of the tongue. Pain is always one-sided, and in the beginning of an attack appear dry mouth and throat, and at the end of the attack — profuse salivation. Sometimes, when there is severe pain, loss of consciousness, preceded by vertigo. This is called syncope. Also, at an altitude of attacks there are sharp bouts of pressure reduction.
Seizures may alternate with periods of remission lasting up to a year. As the disease progresses the symptoms become more frequent and heavier, the pain may become permanent.
Glossopharyngeal Neuralgia: Diagnostics
Objective examination reveals pain in the lower jaw, reduced pharyngeal reflexes, impaired perception in the area of the tongue. All the taste is defined as bitter, strengthened salivation. The doctor determines the areas that cause pain attacks.
- Glossopharyngeal Neuralgia: Causes and Treatment
Glossopharyngeal Neuralgia: Treatment
To prevent attack the throat and tongue root smeared anesthetics — novocaine or dikainom. Sometimes it helps injection of novocaine solution in the area of the tongue. Apply anesthesia and treatment with carbamazepine. When expressed pain syndrome used antidepressants, anxiolytics and antipsychotics. Apply physical therapy in the form of dynamic currents and galvanic currents, immunotherapy and unitiol. When treatment failure produce root transection of the Glossopharyngeal Neuralgia in the specific projections.