17例舌咽神经痛手术治疗的回顾性分析
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摘要
目的
探讨舌咽神经痛的发病原因、临床特点、鉴别诊断及治疗,提出术前评估、术式、手术操作要点及术后并发症的防治。
方法
对2007年9月至2011年4月在郑州大学第一附属医院耳鼻咽喉头颈外科接受手术治疗的17例舌咽神经痛患者的临床资料进行回顾性分析,在此期间治疗方式相对恒定,所有患者均接受颈侧入路舌咽神经切断术。
结果
17例患者均行颈侧切开经颈静脉孔舌咽神经切断术,术后随访1-5年,所有患者疼痛症状均完全消失。其中15例术后疼痛立即消失,1例于术后两周疼痛完全消失,1例于术后3个月后疼痛完全消失。1例患者术后出现轻度声音嘶哑；1例患者术后出现轻度面神经麻痹,术后2周逐渐恢复；3例患者术后出现咽干不适感；3例患者术中出现脑脊液漏。
结论
颈侧入路舌咽神经切断术可治愈舌咽神经痛,熟练掌握头颈部解剖结构及细致的手术操作可最大限度的减轻手术区域神经血管的损伤,减少并发症的发生。
Objective
To analyze the reason of glossopharyngeal neuralgia, clinical features, differential diagnosis,treatment, and to put torward its preoperative valuation opetative key points.and prevention of postoperation complication.
Methods
From September2007to April2011,17patients with glossopharyngeal neuralgia have been admitted to our department. All the patients received surgical management through trans-cervical jugular foramen approach.
Reasults
All the cases were followed up for1-5years,the symptoms of glosspharyngeal neuralgia disappeared thoroughly in17cases.Of all17patients,the symptoms of glosspharyngeal neuralgia disappeared immediately after operation in15cases,pain disappeared completely in two weeks in1case,and in three months in1case. one of17cases appeared mild hoarseness;slight facial paralysis in1case,but gradually relieved in2weeks after operation;3cases felt not well in pharynx.cerebrospinal leak occurred in3cases.
Conclusion
According to the thorough and careful preoperative evaluation and the specific condition of patients, good command of anatomical structure of neck and careful surgical skills during the operation can substantially reduce the lesion of nerve and vascular in surgery region, in addition, relieve the occurrence postoperation complication and achieve the satisfied effectiveness.
探讨舌咽神经痛的发病原因、临床特点、鉴别诊断及治疗,提出术前评估、术式、手术操作要点及术后并发症的防治。
方法
对2007年9月至2011年4月在郑州大学第一附属医院耳鼻咽喉头颈外科接受手术治疗的17例舌咽神经痛患者的临床资料进行回顾性分析,在此期间治疗方式相对恒定,所有患者均接受颈侧入路舌咽神经切断术。
结果
17例患者均行颈侧切开经颈静脉孔舌咽神经切断术,术后随访1-5年,所有患者疼痛症状均完全消失。其中15例术后疼痛立即消失,1例于术后两周疼痛完全消失,1例于术后3个月后疼痛完全消失。1例患者术后出现轻度声音嘶哑；1例患者术后出现轻度面神经麻痹,术后2周逐渐恢复；3例患者术后出现咽干不适感；3例患者术中出现脑脊液漏。
结论
颈侧入路舌咽神经切断术可治愈舌咽神经痛,熟练掌握头颈部解剖结构及细致的手术操作可最大限度的减轻手术区域神经血管的损伤,减少并发症的发生。
Objective
To analyze the reason of glossopharyngeal neuralgia, clinical features, differential diagnosis,treatment, and to put torward its preoperative valuation opetative key points.and prevention of postoperation complication.
Methods
From September2007to April2011,17patients with glossopharyngeal neuralgia have been admitted to our department. All the patients received surgical management through trans-cervical jugular foramen approach.
Reasults
All the cases were followed up for1-5years,the symptoms of glosspharyngeal neuralgia disappeared thoroughly in17cases.Of all17patients,the symptoms of glosspharyngeal neuralgia disappeared immediately after operation in15cases,pain disappeared completely in two weeks in1case,and in three months in1case. one of17cases appeared mild hoarseness;slight facial paralysis in1case,but gradually relieved in2weeks after operation;3cases felt not well in pharynx.cerebrospinal leak occurred in3cases.
Conclusion
According to the thorough and careful preoperative evaluation and the specific condition of patients, good command of anatomical structure of neck and careful surgical skills during the operation can substantially reduce the lesion of nerve and vascular in surgery region, in addition, relieve the occurrence postoperation complication and achieve the satisfied effectiveness.
引文
[1]Weisenburg TH (1910) Cerebello-pontine tumour diagnosed for six years as tic doloureux; the symptoms of irritation of the ninth and twelfth cranial nerves. J Am Med Ass 54: 1600-1604
[2]Sicard R, Robineau V (1920) Algie velo-pharyng e ee essentielle. Traitment chirurgical. Revue Neurol 36:256-257
[3]Harris W (1921) Persistent pain in lesions of the peripheral and central nervous system. Brain 44:557-571
[4]Doyle JB (1923) A study of four cases of glossopharyngealneuralgia. Arch Neurol Psych 9: 34-46
[5]Manzoni GC. Torelli P.Epidemiology of typical and atypical craniofacial neuralgias J]. Neurol Sci,2005,26(2 Suppl):65-67.
[6]Ribeiro R T,Amorim de Souza N,Carvalho Dde S.Glossopharyngeal neuralgia with syncope as a sign of neck cancer recurrence. Arq Neuropsiquiatr,2007,65(4B):1233-1236.
[7]Steven D.Waldman.Glossopharyngeal Neuralgia.In:Waldman S,ed.Pain management.1st ed.Philadelphia:Elsevier Saunders,2006,511-517.
[8]李明红,孟祥贵,镡旭民.舌咽神经痛的病因及治疗现状[J].第三军医大学学报,2005,1(2)：178-179.
[9]徐军,布庆侠.三叉神经痛舌咽神经痛的鉴别诊断与治疗[J].日本医学介绍,1990,11(4)：155-157.
[10]Rozen TD. Trigeminal neuralgia and glossopharyngeal neuralgia[J]. Neurol Clin,2004,22: 185-206.
[11]Boch AL, Oppenheim C, Biondi A,et al. Glossopharyngeal neuralgia associated with a vascular loop demonstrated by magnetic resonance imaging[J]. Acta Neurochir (Wien), 1998,140(8):813-818.
[12]Kondo A. Follow-up results of using microvascular decompression for treatment of glossopharyngeal neuralgia[J]. J Neurosury,1998,88(2):221-225.
[13]Jarrahy R, Cha S T, Eby J B,et al. Fully endoscopic vascular decompression of the glossopharyngeal nerve[J]. J Craniofac Surg,2002,13(1):90-95.
[14]Patel A, Kassam A, Horowitz M,et al. Microvascular decompression in the management of glossopharyngeal neuralgia:analysis of 217 cases[J].Neurosurgery,2002,50(4):705-710, discussion 710-711.
[15]McCarron M O, Bone I. Glossopharyngeal neuralgia referred from a pontine lesion[J]. Cephalagia,1999,19(2):115-117.
[16]Eide P K, Stubhaug A. Relief of glossopharyngeal neuralgia by ketamineinduced N-methyl-aspartate receptor blockade[J]. Neurosurgery,1997,41(2):505-508.
[17]朱军,赵卫国.颅神经病变的磁共振成像新进展[J].国外医学神经病学神经外科学分册,2002,29(5)：391-394.
[18]刘亚欧,杨延辉,李坤成等.磁共振血管成像对舌咽神经痛的的诊断价值[J].立体定向和功能性神经外科杂志,2007,20(1)：32-34.
[19]Schmitz SA, Hohenbleicher H, Koennecke HC, etal. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[20]T, Goto Y, Ishioka H. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[21]Hiwatashi, A., et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression[J]. AJR Am J Roentgenol,2008,191(2):578-816.
[22]赖玉洁,于丹.舌咽神经通的治疗[J].海南医学,2011,22(4)：125-127.
[23]Garcia-Callejo FJ, Velert-Vila MM, Talamantes-Escriba F, et al. Clinical response of gabapentin for glossopharyngeal neuralgia[J].Rev Neurol,1999,28:380-384.
[24]Sampson JH, Grossi PM, Asaoka K, Fukushima T.Microvascular decompression for glossopharyngeal neuralgia:long-term effectiveness and complication avoidance[J]. Neurosur-gery,2004,54:884-889.
[25]Laha RK, Janetta PJ. Glossopharyngeal neuralgia[J]. J Neurosurg,1977,47:316-320.
[26]Rushton JG, Stevens JC, Miller RH.Glossopharyngeal(vagoglopharyngeal) Neuralgia[J]. Archs Neurol,1981,38:201-205.
[27]Uzun C, Adali MK, Karasalihoglu AR.Unusual complication of tonsillectomy taste disturbance and the lingual branch of the glossopharyngeal nerve[J]. J Laryngol Otol,2003, 117(4):314-317.
[28]韩云志,游言文,娄卫华等.经颈侧入路颈静脉孔区显微解剖学观察[J].郑州大学学报,2010,45(3)：401-404.
[29]韩云志,娄卫华,臧卫东.颅外入路舌咽神经切除术的应用解剖学观察[J].郑州大学学报,2010,45(1)：150-151.
[30]黄新辉,娄卫华.侧颅底区舌咽神经的临床应用解剖[J].郑州大学学报(医学版),2006,41(2)：298-300.
[31]Elias J, Kuniyoshi R, Carloni WV, Borges MR, Peixoto CA,Pimentel D. Glossopharyngeal neuralgia associated withcardiac syncope[J]. Arq Bras Cardiol,2002,78:510-519.
[32]Ozenci M, Karaoguz R, Conkbayir C, Altin T, Kanpolat Y.Glssopharyngeal neuralgia with cardiac syncope treatedby glossopharyngeal rhizotomy and microvascular decompression [J].Europace,2003,5:149-152.
[33]Kanpolat Y, Savas A, Batay F, Sinay A. Computed tomography guided trigeminal tractotomy-nucleotomy in the managementof vagoglossopharyngeal and geniculate neuralgias[J]. Neurosurgery,1998,43:484-490.
[1]Evans, R.W., P. Torelli and G.C. Manzoni.Glossopharyngeal neuralgia[J]. Headache,2006, 46(7):1200-1202.
[2]Sampson, J.H., et al. Microvascular decompression for glossopharyngeal neuralgia: long-term effectiveness and complication avoidance[J]. Neurosurgery,2004,54(4): 884-889.
[3]Chawla, J.C. and M.A. Falconer. Glossopharyngeal and vagal neuralgia[J]. Br Med,1967, 3(5564):529-531.
[4]Pearce, J.M. Glossopharyngeal neuralgia[J]. Eur Neurol,2006,55(1):49-52.
[5]Bodal A.The vagus and glossopharyngeal nerves[J] In:BrodaA (ed) Anatomy in relation to clinical medicine. Oxford University Press Inc,1969,363-374.
[6]Ripley RC, Hollifield JW, Niel AS. Sustined hypertension after section of the glossopharyngeal nerve[J]. AmJMed,1977,62:297-302.
[7]Chawla JC, Falconer MA.Glossopharyngeal and vagal neuralgia[J]. Br Med J,1967,3: 529-531.
[8]Bohm E, Strang RR.Glossopharyngeal neuralgia[J]. Brain,1962,85:371-388.
[9]Siqueira SRDT, No obrega JCM, Teixeira MJ, Siqueira JTT.Frequency of post-operative complications after balloon compression for idiopathic trigeminal neuralgia-prospective study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2006,102:39-42.
[10]Siqueira SRDT, No obrega JCM, Valle LBS, Teixeira MJ, Siqueira JTT. Idiopathic trigeminal neuralgia:characteristics and dental procedures[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2004,98:311-315.
[11]DandyWE. Glossopharyngeal neuralgia-Its diagnosis and treatment[J]. Selected writings of Walter E Dandy, compiled by Troland CE and Otenasek FJ. Charles C Thomas publisher, Illinois, USA,1957,98:267-277.
[12]Weisenburg TH. Cerebello-pontine tumour diagnosed for six years as tic doloureux; the symptoms of irritation of the ninth and twelfth cranial nerves[J]. J Am Med Ass,1910,54: 1600-1604.
[13]Sicard R, Robineau V, Algie. Traitment chirurgical[J]. Revue Neurol,1920,36:256-257.
[14]Harris W.Persistent pain in lesions of the peripheral and central nervous system[J]. Brain,1921,44:557-571.
[15]Peet MM. Glossopharyngeal neuralgia[J]. Ann Surg,1935,101:256-268.
[16]Doyle JB. A study of four cases of glossopharyngealneuralgia[J]. Arch Neurol Psych 1923,9:34-46.
[17]Taha JM, Tew JM. Long-term results of surgical treatment ofidiopathic neuralgias of the glossopharyngeal and vagal nerves [J].Neurosurgery,1995,36:926-931.
[18]Taylor PH, Bicknell PG, Rees JR. Glossopharyngeal neuralgia with syncope[J]. J lar Otol,1978,91:859-968.
[19]Guido M, Specchio LM.Glossopharyngeal neuralgia re-sponding to pregabalin[J]. Headache,2006,46:1307-1308.
[20]Moretti R, Torre P, Antonello RM, Bava A, Cazzato G Gabapentin treatment of glossopharyngeal neuralgia:a follow-up offour years of a single case[J]. Eur J Pain,2002,6: 403-407.
[21]Pearce JM. GLossopharyngeal neuralgia[J]. Eur Neurol,2006,55:49-52.
[22]Resnick DK, Jannetta PJ, Bissonnette D, Jho HD, Lanzino G. Microvascular decompression for glossopharyngeal neuralgia[J].Neurosurgery,1995,36:926-931.
[23]Sampson JH, Grossi PM, Asaoka K, Fukushima T.Microvascular decompression for glossopharyngeal neuralgia:long-term effectiveness and complication avoidance[J]. Neurosur-gery,2004,54:884-889.
[24]Shah RV, Racz GB. Pulsed mode radiofrequency lesioning totreat chronic post-tonsillectomy pain (secondary glossopharyngealneuralgia)[J]. Pain Pract,2003,3:232-237.
[25]Stieber VW, Bourland JD, Ellis TL.Glossopharyngealneuralgia treated with gamma knife surgery:treatment outcomeand failure analysis[J]. Case report J Neurosurg,2005,(suppl 102):155-157.
[26]Brzustowcz RJ. Combined trigeminal and glossopharyngealneuralgia[J]. Neurology,1955, 5:1-10.
[27]Weisenburg TH. Cerebello-pontine tumour diagnosed for sixyears as tic doloureux; the symptoms of irritation of the ninth andtwelfth cranial nerves[J]. J Am Med Ass,1910,54: 1600-1604.
[28]Urban PP, Keilmann A, Teichmann EM, Hopf HC.Sensoryneuropathy of the trigeminal, glossopharyngeal, and vagal nerves inSjogren's syndrome[J]. J Neurol Sci,2001,186: 59-63.
[29]Elias J, Kuniyoshi R, Carloni WV, Borges MR, Peixoto CA,Pimentel D. Glossopharyngeal neuralgia associated withcardiac syncope[J]. Arq Bras Cardiol,2002,78:510-519.
[30]Siqueira SRDT, Lara C, N o obrega JCM, Siqueira JTT, Teixeira MJ. Sensitive evaluation of patients with idiopathic trigeminal[J]. J Neurol Sci,2006,186:59-63.
[31]Synai VJ, Bonamico LH, Dubrovsky A. Subclinical abnor-malities in trigeminal neuralgia[J]. Cephalalgia,2003,23:541-544.
[32]Ozenci M, Karaoguz R, Conkbayir C, Altin T, Kanpolat Y.Glssopharyngeal neuralgia with cardiac syncope treatedby glossopharyngeal rhizotomy and microvascular decompression [J].Europace,2003,5:149-152.
[33]Kanpolat Y, Savas A, Batay F, Sinay A. Computed tomography guided trigeminal tractotomy-nucleotomy in the managementof vagoglossopharyngeal and geniculate neuralgias[J]. Neurosurgery,1998,43:484-490.
[34]Rushton JG, Stevens JC, Miller RH.Glossopharyngeal(vagoglopharyngeal) Neuralgia[J]. Archs Neurol,1981,38:201-205.
[35]Kunc Z.Treatment of essential neuralgia of the 9thnerve byselective tractotomy[J]. J Neurosurg,1965,23:494-500.
[36]Katusic S, Williams DB, Beard CM, et al. Epidemiology and clini-cal features of idiopathic trigeminal neuralgia and glossopharyn-geal neuralgia:similarities and differences[J]. Neuroepidemiology,1991,10:276-281.
[37]Patel A, Kassam A, Horowitz M, et al. Microvascular decompres-sion in the management of glossopharyngeal neuralgia:analysis of217 cases[J]. Neurosurgery,2002,50:705-711.
[38]Olesen J, Tfelt-Hansen P, Welch KMA. Glossopharyngeal(vagoglopharyngeal) Neuralgia[J]. Archs Neurol,2000,38:201-205.
[39]Rushton JG, Stevens JC, Miller RH. Glossopharyngeal (vagoglos-sopharyngeal) neuralgia: a study of 217 cases[J]. Arch Neurol,1991,38:201-205.
[40]Teixeira, M.J., S.R. de Siqueira and E. Bor-Seng-Shu, Glossopharyngeal neuralgia: neurosurgical treatment and differential diagnosis[J]. Acta Neurochir (Wien),2008,150(5): 471-512.
[41]Ekbom KA, Westerberg CE. Carbamazepine in glossopharyngealneuralgia[J]. Arch Neurol, 1966,14:595-596.
[42]Garcia-Callejo FJ, Velert-Vila MM, Talamantes-Escriba F, et al. Clinical response of gabapentin for glossopharyngeal neuralgia[J].Rev Neurol,1999,28:380-384.
[43]Carlsen LT, Andersen S. Gabapentin treatment of glossopharyn-geal neuralgia with cardiac syncope[J]. Ugeskr Laeger,2002,164:1512-1513.
[44]Laha RK, Janetta PJ. Glossopharyngeal neuralgia[J]. J Neurosurg,1977,47:316-320.
[45]Katusic S,Williams DB, BeardM, Bergstralh E, Kur-land LT. Incidence and clinical features of glossopha-ryngeal neuralgia, Rochester, Minnesota,1945-1984[J]. Neuroepidemiology,1991,10:266-275.
[46]Bruyn GW. Glossopharyngeal neuralgia[J]. Cephalalgia,1983,3:143-157.
[47]Minagar A, Sheremata WA. Glossopharyngeal neuralgia and MS[J]. Neurology,2000,54: 1368-1370.
[48]Eide PK, Stubhaug A. Relief of glossopharyngeal neuralgia by ketamine-induced N-methyl-aspartate receptor blockade[J]. Neurosurgery,1997,41:505-508.
[49]Thomson JL. Glossopharyngeal neuralgia accompanied byunconsciousness[J]. J Neurosurg,1954,11:511-15.
[50]White K, Sweet WH. Idiopathic vagoglossopharyngeal neuralgia In:Thomas CC, ed. Pain and the neurosurgeon:a forty year experience[J]. J Neurosurg,1969,265-302.
[51]Resnick DK, Jannetta PJ, Bissonnette D, Jho HD, Lanzino G.. Microvascular decompression for glossopharyngeal neuralgia[J]. Neurosurgery,1995,36:64-68.
[52]Sampson JH, Grossi PM, Asaoka K, Fukushima T. Microvascular decompression for glossopha-ryngeal neuralgia:long-term effectiveness and complication avoidance[J]. Neurosurgery,2004,54:884-889.
[53]Laha RK, Jannetta PJ. Glossopharyngeal neuralgia[J]. J Neurosurg,1977,47:316-320.
[54]Naidich TP, Kricheff II, George AE, Lin JP. The normal anterior inferior cerebellar artery: anatomicradiographic correlation with emphasis on the lateral projection[J]. Radiology, 1976,119:355-373.
[55]Huang YP, Wolf BS, Antin SP, Okudera T. The veins of the posterior fossa-anterior or petrosal draining group[J]. Am J Roentgenol Radium Ther Nucl Med,1968,104:36-56.
[56]Matsushima T, Goto Y, Ishioka H, Mihara F, Fu-kui M. Possible role of an endovascular provocative test in the diagnosis of glossopharyngeal neuralgia as a vascular compression syndrome[J]. Acta Neurochir (Wien),1999,141:1229-1232.
[57]Schmitz SA, Hohenbleicher H, Koennecke HC, etal. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[58]T, Goto Y, Ishioka H. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[59]Hiwatashi, A., et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression[J]. AJR Am J Roentgenol,2008,191(2):578-816.
[60]Knuckey, N. W. and Gubbay, S. S. Familial trigemial andglossopharyngeal neuralgia[J]. Clinical and Experimental Neurology,1979,16:315-319.
[2]Sicard R, Robineau V (1920) Algie velo-pharyng e ee essentielle. Traitment chirurgical. Revue Neurol 36:256-257
[3]Harris W (1921) Persistent pain in lesions of the peripheral and central nervous system. Brain 44:557-571
[4]Doyle JB (1923) A study of four cases of glossopharyngealneuralgia. Arch Neurol Psych 9: 34-46
[5]Manzoni GC. Torelli P.Epidemiology of typical and atypical craniofacial neuralgias J]. Neurol Sci,2005,26(2 Suppl):65-67.
[6]Ribeiro R T,Amorim de Souza N,Carvalho Dde S.Glossopharyngeal neuralgia with syncope as a sign of neck cancer recurrence. Arq Neuropsiquiatr,2007,65(4B):1233-1236.
[7]Steven D.Waldman.Glossopharyngeal Neuralgia.In:Waldman S,ed.Pain management.1st ed.Philadelphia:Elsevier Saunders,2006,511-517.
[8]李明红,孟祥贵,镡旭民.舌咽神经痛的病因及治疗现状[J].第三军医大学学报,2005,1(2)：178-179.
[9]徐军,布庆侠.三叉神经痛舌咽神经痛的鉴别诊断与治疗[J].日本医学介绍,1990,11(4)：155-157.
[10]Rozen TD. Trigeminal neuralgia and glossopharyngeal neuralgia[J]. Neurol Clin,2004,22: 185-206.
[11]Boch AL, Oppenheim C, Biondi A,et al. Glossopharyngeal neuralgia associated with a vascular loop demonstrated by magnetic resonance imaging[J]. Acta Neurochir (Wien), 1998,140(8):813-818.
[12]Kondo A. Follow-up results of using microvascular decompression for treatment of glossopharyngeal neuralgia[J]. J Neurosury,1998,88(2):221-225.
[13]Jarrahy R, Cha S T, Eby J B,et al. Fully endoscopic vascular decompression of the glossopharyngeal nerve[J]. J Craniofac Surg,2002,13(1):90-95.
[14]Patel A, Kassam A, Horowitz M,et al. Microvascular decompression in the management of glossopharyngeal neuralgia:analysis of 217 cases[J].Neurosurgery,2002,50(4):705-710, discussion 710-711.
[15]McCarron M O, Bone I. Glossopharyngeal neuralgia referred from a pontine lesion[J]. Cephalagia,1999,19(2):115-117.
[16]Eide P K, Stubhaug A. Relief of glossopharyngeal neuralgia by ketamineinduced N-methyl-aspartate receptor blockade[J]. Neurosurgery,1997,41(2):505-508.
[17]朱军,赵卫国.颅神经病变的磁共振成像新进展[J].国外医学神经病学神经外科学分册,2002,29(5)：391-394.
[18]刘亚欧,杨延辉,李坤成等.磁共振血管成像对舌咽神经痛的的诊断价值[J].立体定向和功能性神经外科杂志,2007,20(1)：32-34.
[19]Schmitz SA, Hohenbleicher H, Koennecke HC, etal. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[20]T, Goto Y, Ishioka H. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[21]Hiwatashi, A., et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression[J]. AJR Am J Roentgenol,2008,191(2):578-816.
[22]赖玉洁,于丹.舌咽神经通的治疗[J].海南医学,2011,22(4)：125-127.
[23]Garcia-Callejo FJ, Velert-Vila MM, Talamantes-Escriba F, et al. Clinical response of gabapentin for glossopharyngeal neuralgia[J].Rev Neurol,1999,28:380-384.
[24]Sampson JH, Grossi PM, Asaoka K, Fukushima T.Microvascular decompression for glossopharyngeal neuralgia:long-term effectiveness and complication avoidance[J]. Neurosur-gery,2004,54:884-889.
[25]Laha RK, Janetta PJ. Glossopharyngeal neuralgia[J]. J Neurosurg,1977,47:316-320.
[26]Rushton JG, Stevens JC, Miller RH.Glossopharyngeal(vagoglopharyngeal) Neuralgia[J]. Archs Neurol,1981,38:201-205.
[27]Uzun C, Adali MK, Karasalihoglu AR.Unusual complication of tonsillectomy taste disturbance and the lingual branch of the glossopharyngeal nerve[J]. J Laryngol Otol,2003, 117(4):314-317.
[28]韩云志,游言文,娄卫华等.经颈侧入路颈静脉孔区显微解剖学观察[J].郑州大学学报,2010,45(3)：401-404.
[29]韩云志,娄卫华,臧卫东.颅外入路舌咽神经切除术的应用解剖学观察[J].郑州大学学报,2010,45(1)：150-151.
[30]黄新辉,娄卫华.侧颅底区舌咽神经的临床应用解剖[J].郑州大学学报(医学版),2006,41(2)：298-300.
[31]Elias J, Kuniyoshi R, Carloni WV, Borges MR, Peixoto CA,Pimentel D. Glossopharyngeal neuralgia associated withcardiac syncope[J]. Arq Bras Cardiol,2002,78:510-519.
[32]Ozenci M, Karaoguz R, Conkbayir C, Altin T, Kanpolat Y.Glssopharyngeal neuralgia with cardiac syncope treatedby glossopharyngeal rhizotomy and microvascular decompression [J].Europace,2003,5:149-152.
[33]Kanpolat Y, Savas A, Batay F, Sinay A. Computed tomography guided trigeminal tractotomy-nucleotomy in the managementof vagoglossopharyngeal and geniculate neuralgias[J]. Neurosurgery,1998,43:484-490.
[1]Evans, R.W., P. Torelli and G.C. Manzoni.Glossopharyngeal neuralgia[J]. Headache,2006, 46(7):1200-1202.
[2]Sampson, J.H., et al. Microvascular decompression for glossopharyngeal neuralgia: long-term effectiveness and complication avoidance[J]. Neurosurgery,2004,54(4): 884-889.
[3]Chawla, J.C. and M.A. Falconer. Glossopharyngeal and vagal neuralgia[J]. Br Med,1967, 3(5564):529-531.
[4]Pearce, J.M. Glossopharyngeal neuralgia[J]. Eur Neurol,2006,55(1):49-52.
[5]Bodal A.The vagus and glossopharyngeal nerves[J] In:BrodaA (ed) Anatomy in relation to clinical medicine. Oxford University Press Inc,1969,363-374.
[6]Ripley RC, Hollifield JW, Niel AS. Sustined hypertension after section of the glossopharyngeal nerve[J]. AmJMed,1977,62:297-302.
[7]Chawla JC, Falconer MA.Glossopharyngeal and vagal neuralgia[J]. Br Med J,1967,3: 529-531.
[8]Bohm E, Strang RR.Glossopharyngeal neuralgia[J]. Brain,1962,85:371-388.
[9]Siqueira SRDT, No obrega JCM, Teixeira MJ, Siqueira JTT.Frequency of post-operative complications after balloon compression for idiopathic trigeminal neuralgia-prospective study[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2006,102:39-42.
[10]Siqueira SRDT, No obrega JCM, Valle LBS, Teixeira MJ, Siqueira JTT. Idiopathic trigeminal neuralgia:characteristics and dental procedures[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2004,98:311-315.
[11]DandyWE. Glossopharyngeal neuralgia-Its diagnosis and treatment[J]. Selected writings of Walter E Dandy, compiled by Troland CE and Otenasek FJ. Charles C Thomas publisher, Illinois, USA,1957,98:267-277.
[12]Weisenburg TH. Cerebello-pontine tumour diagnosed for six years as tic doloureux; the symptoms of irritation of the ninth and twelfth cranial nerves[J]. J Am Med Ass,1910,54: 1600-1604.
[13]Sicard R, Robineau V, Algie. Traitment chirurgical[J]. Revue Neurol,1920,36:256-257.
[14]Harris W.Persistent pain in lesions of the peripheral and central nervous system[J]. Brain,1921,44:557-571.
[15]Peet MM. Glossopharyngeal neuralgia[J]. Ann Surg,1935,101:256-268.
[16]Doyle JB. A study of four cases of glossopharyngealneuralgia[J]. Arch Neurol Psych 1923,9:34-46.
[17]Taha JM, Tew JM. Long-term results of surgical treatment ofidiopathic neuralgias of the glossopharyngeal and vagal nerves [J].Neurosurgery,1995,36:926-931.
[18]Taylor PH, Bicknell PG, Rees JR. Glossopharyngeal neuralgia with syncope[J]. J lar Otol,1978,91:859-968.
[19]Guido M, Specchio LM.Glossopharyngeal neuralgia re-sponding to pregabalin[J]. Headache,2006,46:1307-1308.
[20]Moretti R, Torre P, Antonello RM, Bava A, Cazzato G Gabapentin treatment of glossopharyngeal neuralgia:a follow-up offour years of a single case[J]. Eur J Pain,2002,6: 403-407.
[21]Pearce JM. GLossopharyngeal neuralgia[J]. Eur Neurol,2006,55:49-52.
[22]Resnick DK, Jannetta PJ, Bissonnette D, Jho HD, Lanzino G. Microvascular decompression for glossopharyngeal neuralgia[J].Neurosurgery,1995,36:926-931.
[23]Sampson JH, Grossi PM, Asaoka K, Fukushima T.Microvascular decompression for glossopharyngeal neuralgia:long-term effectiveness and complication avoidance[J]. Neurosur-gery,2004,54:884-889.
[24]Shah RV, Racz GB. Pulsed mode radiofrequency lesioning totreat chronic post-tonsillectomy pain (secondary glossopharyngealneuralgia)[J]. Pain Pract,2003,3:232-237.
[25]Stieber VW, Bourland JD, Ellis TL.Glossopharyngealneuralgia treated with gamma knife surgery:treatment outcomeand failure analysis[J]. Case report J Neurosurg,2005,(suppl 102):155-157.
[26]Brzustowcz RJ. Combined trigeminal and glossopharyngealneuralgia[J]. Neurology,1955, 5:1-10.
[27]Weisenburg TH. Cerebello-pontine tumour diagnosed for sixyears as tic doloureux; the symptoms of irritation of the ninth andtwelfth cranial nerves[J]. J Am Med Ass,1910,54: 1600-1604.
[28]Urban PP, Keilmann A, Teichmann EM, Hopf HC.Sensoryneuropathy of the trigeminal, glossopharyngeal, and vagal nerves inSjogren's syndrome[J]. J Neurol Sci,2001,186: 59-63.
[29]Elias J, Kuniyoshi R, Carloni WV, Borges MR, Peixoto CA,Pimentel D. Glossopharyngeal neuralgia associated withcardiac syncope[J]. Arq Bras Cardiol,2002,78:510-519.
[30]Siqueira SRDT, Lara C, N o obrega JCM, Siqueira JTT, Teixeira MJ. Sensitive evaluation of patients with idiopathic trigeminal[J]. J Neurol Sci,2006,186:59-63.
[31]Synai VJ, Bonamico LH, Dubrovsky A. Subclinical abnor-malities in trigeminal neuralgia[J]. Cephalalgia,2003,23:541-544.
[32]Ozenci M, Karaoguz R, Conkbayir C, Altin T, Kanpolat Y.Glssopharyngeal neuralgia with cardiac syncope treatedby glossopharyngeal rhizotomy and microvascular decompression [J].Europace,2003,5:149-152.
[33]Kanpolat Y, Savas A, Batay F, Sinay A. Computed tomography guided trigeminal tractotomy-nucleotomy in the managementof vagoglossopharyngeal and geniculate neuralgias[J]. Neurosurgery,1998,43:484-490.
[34]Rushton JG, Stevens JC, Miller RH.Glossopharyngeal(vagoglopharyngeal) Neuralgia[J]. Archs Neurol,1981,38:201-205.
[35]Kunc Z.Treatment of essential neuralgia of the 9thnerve byselective tractotomy[J]. J Neurosurg,1965,23:494-500.
[36]Katusic S, Williams DB, Beard CM, et al. Epidemiology and clini-cal features of idiopathic trigeminal neuralgia and glossopharyn-geal neuralgia:similarities and differences[J]. Neuroepidemiology,1991,10:276-281.
[37]Patel A, Kassam A, Horowitz M, et al. Microvascular decompres-sion in the management of glossopharyngeal neuralgia:analysis of217 cases[J]. Neurosurgery,2002,50:705-711.
[38]Olesen J, Tfelt-Hansen P, Welch KMA. Glossopharyngeal(vagoglopharyngeal) Neuralgia[J]. Archs Neurol,2000,38:201-205.
[39]Rushton JG, Stevens JC, Miller RH. Glossopharyngeal (vagoglos-sopharyngeal) neuralgia: a study of 217 cases[J]. Arch Neurol,1991,38:201-205.
[40]Teixeira, M.J., S.R. de Siqueira and E. Bor-Seng-Shu, Glossopharyngeal neuralgia: neurosurgical treatment and differential diagnosis[J]. Acta Neurochir (Wien),2008,150(5): 471-512.
[41]Ekbom KA, Westerberg CE. Carbamazepine in glossopharyngealneuralgia[J]. Arch Neurol, 1966,14:595-596.
[42]Garcia-Callejo FJ, Velert-Vila MM, Talamantes-Escriba F, et al. Clinical response of gabapentin for glossopharyngeal neuralgia[J].Rev Neurol,1999,28:380-384.
[43]Carlsen LT, Andersen S. Gabapentin treatment of glossopharyn-geal neuralgia with cardiac syncope[J]. Ugeskr Laeger,2002,164:1512-1513.
[44]Laha RK, Janetta PJ. Glossopharyngeal neuralgia[J]. J Neurosurg,1977,47:316-320.
[45]Katusic S,Williams DB, BeardM, Bergstralh E, Kur-land LT. Incidence and clinical features of glossopha-ryngeal neuralgia, Rochester, Minnesota,1945-1984[J]. Neuroepidemiology,1991,10:266-275.
[46]Bruyn GW. Glossopharyngeal neuralgia[J]. Cephalalgia,1983,3:143-157.
[47]Minagar A, Sheremata WA. Glossopharyngeal neuralgia and MS[J]. Neurology,2000,54: 1368-1370.
[48]Eide PK, Stubhaug A. Relief of glossopharyngeal neuralgia by ketamine-induced N-methyl-aspartate receptor blockade[J]. Neurosurgery,1997,41:505-508.
[49]Thomson JL. Glossopharyngeal neuralgia accompanied byunconsciousness[J]. J Neurosurg,1954,11:511-15.
[50]White K, Sweet WH. Idiopathic vagoglossopharyngeal neuralgia In:Thomas CC, ed. Pain and the neurosurgeon:a forty year experience[J]. J Neurosurg,1969,265-302.
[51]Resnick DK, Jannetta PJ, Bissonnette D, Jho HD, Lanzino G.. Microvascular decompression for glossopharyngeal neuralgia[J]. Neurosurgery,1995,36:64-68.
[52]Sampson JH, Grossi PM, Asaoka K, Fukushima T. Microvascular decompression for glossopha-ryngeal neuralgia:long-term effectiveness and complication avoidance[J]. Neurosurgery,2004,54:884-889.
[53]Laha RK, Jannetta PJ. Glossopharyngeal neuralgia[J]. J Neurosurg,1977,47:316-320.
[54]Naidich TP, Kricheff II, George AE, Lin JP. The normal anterior inferior cerebellar artery: anatomicradiographic correlation with emphasis on the lateral projection[J]. Radiology, 1976,119:355-373.
[55]Huang YP, Wolf BS, Antin SP, Okudera T. The veins of the posterior fossa-anterior or petrosal draining group[J]. Am J Roentgenol Radium Ther Nucl Med,1968,104:36-56.
[56]Matsushima T, Goto Y, Ishioka H, Mihara F, Fu-kui M. Possible role of an endovascular provocative test in the diagnosis of glossopharyngeal neuralgia as a vascular compression syndrome[J]. Acta Neurochir (Wien),1999,141:1229-1232.
[57]Schmitz SA, Hohenbleicher H, Koennecke HC, etal. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[58]T, Goto Y, Ishioka H. Neurogenic hypertension:a new MRI protocolfor the evaluation of neurovascular compression of the cranial nerves Ⅸ and Ⅹ root-entry zone[J]. Invest Radiol,1999,34:774-780.
[59]Hiwatashi, A., et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression[J]. AJR Am J Roentgenol,2008,191(2):578-816.
[60]Knuckey, N. W. and Gubbay, S. S. Familial trigemial andglossopharyngeal neuralgia[J]. Clinical and Experimental Neurology,1979,16:315-319.