Glossopharyngeal neuralgia in the context of a Chiari type I malformation

详细信息    查看全文

• 作者：Fernando Ruiz-Juretschke ; ^{doc.fer@gmx.de} ; Roberto Garcí ; a-Leal ; Sara Garcia-Duque ; Teresa Panadero ; Cristina Aracil
• 关键词：Chiari I malformation ; Glossopharyngeal neuralgia ; Nerve compression syndromes ; Tonsil resection
• 刊名：Journal of Clinical Neuroscience
• 出版年：2012
• 出版时间：April, 2012
• 年：2012
• 卷：19
• 期：4
• 页码：614-616
• 全文大小：505 K

文摘

A 34-year-old woman presented with disabling right-sided glossopharyngeal neuralgia. MRI revealed a Chiari I malformation with an asymmetric herniation of the right tonsil. Surgical inspection of the lower cranial nerves through a suboccipital approach showed no vascular compromise. The patient was pain free for three months before the same symptoms recurred. MRI showed a persisting crowding at the level of the foramen magnum. A second intervention with extension of the suboccipital craniectomy and resection of the right tonsil achieved definitive pain relief. To our knowledge this is the fourth report of a glossopharyngeal neuralgia caused by a Chiari I malformation. Recurrence of the pain after incomplete decompression of the posterior fossa underlines the importance of tonsillectomy in these patients.