Trigeminal and Glossopharyngeal Neuralgia

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This chapter presents a study on acute and chronic pain related to trigeminal and glossopharyngeal neuralgia. The chapter mentions that trigeminal neuralgia is characterized by attacks of severe, unilateral lancinating pain in the territory of the trigeminal nerve, most commonly its third division. The attacks, which may recur many times a day, last from seconds to minutes. They may occur spontaneously or be stimulus triggered. Particularly in the early stages of the condition, long remissions, lasting months or years, are the characteristics.. Triggering factors include swallowing particularly cold liquids, coughing, yawning, blowing the nose, chewing, speaking, cleaning the teeth, inserting or removing dentures, and facial contact. The chapter discusses radiofrequency thermal rhizotomy, percutaneous microcompression of the gasserian ganglion, glycerol rhizotomy and several other types of treatment. Idiopathic trigeminal neuralgia is due, in many cases, to cross compression of the nerve by vascular structures close to the nerve entry zone alongside the brainstem. A pathological condition caused by vascular compression of the root entry/exit zone of the cranial nerves has been designated hyperactive dysfunction syndrome (HDS). Trigeminal neuralgia is sometimes the presenting manifestation of MS or occurs during the course of the disease. © 2003 Elsevier Inc. All rights reserved.




Perkin, G. D., & Brandt, T. (2003). Trigeminal and Glossopharyngeal Neuralgia. In Neurological Disorders: Course and Treatment: Second Edition (pp. 67–75). Elsevier Inc.

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