What is glossopharyngeal neuralgia and what is the difference from trigeminal neuralgia

Glossopharyngeal neuralgia is a paroxysmal episode of severe pain that occurs in the distribution area of the glossopharyngeal nerve. The nature of the pain is similar to that of trigeminal neuralgia. Key points in the differential diagnosis of primary trigeminal neuralgia and glossopharyngeal neuralgia:

Primary trigeminal neuralgia is more common, the pain site is in the distribution area of the trigeminal nerve, the right side is more than the left side, it is superficial pain, the trigger point is mostly in the lips and nose, the predisposing factors are talking, washing the face, shaving, easy to swallow after eating food, and frequent attacks; Glossopharyngeal neuralgia is relatively rare, the pain site is in the distribution area of the glossopharyngeal nerve, the left side is more than the right side, it is a deep pain, the trigger point is mostly in the posterior pharynx and the base of the tongue, the predisposing factors are refusal, swallowing, food entrance and swallowing can induce pain attacks, and the attacks are rare.

Is glossopharyngeal neuralgia trigeminal neuralgia? Many patients don't understand this problem very well, today let's take a look at glossopharyngeal neuralgia and trigeminal neuralgia are the same symptoms? What difference would it make?

Glossopharyngeal neuralgia is a paroxysmal severe pain that occurs in the distribution area of the glossopharyngeal nerve, and its nature of pain is very similar to that of trigeminal neuralgia, which can be divided into two categories: primary and secondary.

Trigeminal neuralgia is a severe painful disorder that occurs in the distribution of the trigeminal nerve and is similar in nature to glossopharyngeal neuralgia and requires careful differentiation at the time of diagnosis. So what is the difference between trigeminal neuralgia and glossopharyngeal neuralgia?

Primary glossopharyngeal neuralgia: the cause of primary glossopharyngeal neuralgia is unclear and may be due to nerve demyelination. The age of onset of the disease is more likely to be over 40 years old, and it is more common in men than in women.

The location of the pain is different from that of primary trigeminal neuralgia and occurs at the base of the tongue, throat, tonsils, deep ear, and back of the jaw. Sometimes deep ear pain is the main manifestation. The onset and nature of the pain in primary glossopharyngeal neuralgia are the same as those of trigeminal neuralgia, and the pain often comes on and on and on and on, stopping abruptly, and each attack usually lasts for a few seconds or tens of seconds, usually no more than 2 minutes.

It can also be painful like knife cuts, pinpricks, tears, burns, and electric shocks.

2.Secondary glossopharyngeal neuralgia: Some pontine cerebellar angle tumors, arachnoiditis, vascular diseases, pharyngeal tumors, or styloid overgrowth can irritate the glossopharyngeal nerve and cause pain in the distribution area of the glossopharyngeal nerve, which is called secondary glossopharyngeal neuralgia.

The duration of the pain is long or persistent, the trigger factors and trigger points may not be obvious, and the pain is more severe at night.

The biggest difference between trigeminal neuralgia and glossopharyngeal neuralgia is the location of the pain. Although glossopharyngeal neuralgia and trigeminal neuralgia are of the same nature, the location of the pain is different, and it is relatively easy to distinguish between the two. If there is only jaw and tongue pain, or if the pain site is vague, it is easy to connect with the trigeminal nerve 3rd

Afroxy is confused. At this time, if procaine is ineffective to close the mandibular nerve, but spraying 10% cocaine or procaine on the beginning of tongue and pharyngeal pain can temporarily relieve the pain, and glossopharyngeal neuralgia can be diagnosed; Otherwise, it is trigeminal nerve mandibular branch pain. Occasionally, glossopharyngeal neuralgia and trigeminal neuralgia are co-existent.

The above is about the difference between glossopharyngeal neuralgia and trigeminal neuralgia, through the above understanding, I believe that these two conditions have been understood, in real life, pay attention to distinguish these two different conditions, I hope it will be helpful for you to diagnose the condition.

Answer]: A The main clinical manifestation of trigeminal source fork neuralgia is the sudden occurrence of lightning and extremely severe pain in a certain branch of the trigeminal nerve. Seizures are usually during the day.

Glossopharyngeal neuralgia, like trigeminal neuralgia, may have pain triggers, also known as them"Trigger point", which is often located in the tonsils, external auditory canal, and base of the tongue, can cause painful attacks when touched. Swallowing, chewing, yawning, and coughing can all trigger pain. Temporomandibular joint disorder pain is mainly manifested by pain in the joint area or periarticular muscle groups during opening and chewing movements.

When the onset of auriculotemporal neuralgia is not present, it is often accompanied by autonomic symptoms such as flushing, sweating, increased saliva secretion on the affected side, and increased pulse of the superficial temporal artery in the distribution area of the ototemporal nerve.

Glossopharyngeal neuralgia is a transient, severe pain that reverses the distribution of the glossopharyngeal nerve. Far less common than trigeminal neuralgia. Most of them develop in middle age.

The gushing begins in the oropharynx, larynx, or ear. It can be triggered by swallowing, chewing, speaking, coughing, etc. Onset of pain may be accompanied by coughing, decreased pulse, decreased blood pressure, or fainting.

Spontaneous remission may occur during the course of the disease.

Guidance: Daily attention should be paid to frequent brushing, gargling, maintaining oral hygiene, avoiding spicy and fatty food, eating more vegetables and fruits, crude fiber food, keeping the stool smooth, supplementing vitamins, properly replenishing water, paying attention to rest, appropriate activities and exercise, maintaining a good mood, cautious use of anticholinergic drugs, etc., the above measures have greater benefits for this syndrome, do not take too much intake at a time, and take a small number of meals as the principle. Be careful not to consume too much high-calorie food, otherwise it is easy to incur obesity. And don't eat foods that are too hot or too cold.

Try to eat plenty of vegetables that contain fiber to avoid constipation.

If your medical history is short, you need to rule out otitis media, etc., if the ENT examination is not caused by otitis media, you can try to take carbamazepine (Delido) first, and at the same time undergo MRI of cranial nerves (3t or more) (trigeminal nerve and glossopharyngeal nerve) examination. Return.

Zhou Mingwei, Jiangsu Provincial People's Hospital.

Glossopharyngeal neuralgia with Quanlong Tang Yang traditional Chinese medicine with more than 40 years of clinical experience prescription The curative effect is reliable You will know it.

If you have inflammation, take some anti-inflammatory drugs and try it.

Glossopharyngeal neuralgia has a great impact on the quality of life of patients. Often patients are very emaciated, and some patients may have symptoms of cachexia, so glossopharyngeal neuralgia is a disease that should be actively improved. The most common glossopharyngeal neuralgia is because some blood vessels in the skull, such as the anterior inferior cerebellar artery, as well as the vertebral artery, and some branches of the vertebral artery, compress the glossopharyngeal nerve.

The stem of the glossopharyngeal nerve and the root of the glossopharyngeal nerve cause abnormal leakage of the glossopharyngeal nerve. Just like an electrical wire, abnormal electrical discharge will cause paroxysmal, knife-like, pinprick pain in the throat wall, tongue base, and tonsil fossa. The patient was in great pain, and surgery was performed to separate the blood vessels that were pressing on the glossopharyngeal nerve.

Fix it with a power supply, as long as it does not compress the glossopharyngeal nerve, you can completely ** this disease. Then this disease, through microvascular decompression surgery, can achieve a 99% ** rate. Therefore, patients with glossopharyngeal neuralgia should advocate aggressive surgery.

There are other two kinds of glossopharyngeal neuralgia, such as the styloid process is too long, which is relatively rare, so you can take a CT to see if the styloid process is too long. There is also an intracranial tumor that causes glossopharyngeal neuralgia, but both are rare. But once found, it can also be solved by surgery.

Expert tip: The most common glossopharyngeal neuralgia is because some blood vessels in the skull compress the glossopharyngeal nerve, and these blood vessels are separated by microvascular decompression surgery, so that the glossopharyngeal nerve can no longer be compressed**. In addition, styloid process lengthiness and glossopharyngeal neuralgia caused by intracranial tumors are less common but can be resolved surgically.

Throat neuralgia is easily confused with glossopharyngeal neuralgia and trigeminal neuralgia, and it is recommended to go to a local regular hospital for differential diagnosis.

Glossopharyngeal nerve pain usually begins in the pharynx or tonsils and radiates to the ipsilateral external auditory canal, behind the ear, and at the angle of the mandible. Severe pain is often caused by eating, swallowing, talking, coughing, and moving the jaw joint. It is abrupt in nature, similar to a knife cut, cautery, pinprick or electric shock, and lasts for a few seconds to a few minutes before stopping abruptly.

It can be induced by eating, drinking, talking, etc., and the trigger point can be called the trigger point. Most of them have no positive neurologic signs. Some of them can be severely malnourished due to fear of eating.

Glossopharyngeal neuralgia usually begins after the age of 35 years and is more common in men than women.

Sudden pain, similar in nature to trigeminal neuralgia, located in the tonsils, base of the tongue, pharynx, deep ear canal, etc., intermittent attacks, each time lasting a few seconds to 1 2 minutes, can be induced by swallowing, speaking, coughing, yawning, etc., in the posterior pharyngeal wall, tongue root, tonsil fossa can have pain trigger points.

1.Drugs**.

1) Phenytoin taken orally.

2) Vitamins B1, B12, etc.

3) Carbamazepine orally. Drugs** often achieve satisfactory clinical efficacy in the early stages of the disease, but as the pain intensifies, the drugs often lose their effectiveness after months or years.

2.Nerve blocks.

The method is percutaneous puncture of the jugular foramen radiofrequency**, which is suitable for:

1) Those who are ineffective or unable to tolerate adverse drug reactions;

2) Those who are old or in poor general condition and cannot tolerate microvascular decompression surgery;

3) Cases of multiple sclerosis. The main problems of this method are the high rate of pain and nerve damage caused by dysphagia, choking on drinking water and hoarseness.

3.Microvascular decompression surgery.

Microvascular decompression is currently the safest and most effective surgical method, with a rate of 99%. Surgery** Applies to:

1) Failed drug or percutaneous puncture**;

2) The patient is in good general condition, has no serious organic lesions, and can tolerate surgery;

3) Patients with multiple sclerosis or pontine cerebellar angle tumor and other lesions are excluded. In most patients, the pain goes away after surgery.

4.Closed**.

At the midpoint of the line between the mandibular angle and the mastoid process, 10% procaine is injected vertically under the skin to relieve pain.

Problem analysis: Hello, friend, according to your description, glossopharyngeal neuralgia, the situation you are talking about is mainly considered to be the symptomatic manifestation of acute pharyngitis. Suggestions: