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PAROXYSMAL NEURALGIA OF THE TYMPANIC BRANCH OF THE GLOSSOPHARYNGEAL NERVE: Report of a Case in Which Relief Was Obtained by Intracranial Section of the Glossopharyngeal Nerve

PAROXYSMAL NEURALGIA OF THE TYMPANIC BRANCH OF THE GLOSSOPHARYNGEAL NERVE: Report of a Case in... Abstract Glossopharyngeal neuralgia is a definite clinical entity. The disease is rare, and the possible clinical variants are not as well understood as they are in cases of trigeminal neuralgia. In its sudden brief painful paroxysms, in the complete relief afforded by section of the posterior root and in the obscure etiology, it resembles tic douloureux of the fifth nerve. The pain of trigeminal neuralgia may originate in any of the peripheral branches of any of the three sensory divisions of the nerve. A priori, it is reasonable to suppose that the same phenomenon may be expected in glossopharyngeal neuralgia, and it does occur. The justification for reporting the following case is the fact that it is an example of paroxysmal neuralgia originating in the tympanic branch of the glossopharyngeal nerve; the trigger zone initiating the pain was probably within the eustachian tube, and complete relief followed intracranial section of the References 1. Poth, E. J.: A Simplified Technique for Quantitative Collection of Salivary Secretions in Man , Proc. Soc. Exper. Biol. & Med. 30:977 ( (April) ) 1933. 2. Reichert, F. L.: Neuralgias of the Glossopharyngeal Nerve , Arch. Neurol. & Psychiat. 32:1030 ( (Nov.) ) 1934. 3. Doyle, J. B.: Glossopharyngeal Neuralgia , Arch. Neurol. & Psychiat. 9:34 ( (Jan.) ) 1923. 4. Adson, A. W.: The Surgical Treatment of Glossopharyngeal Neuralgia , Arch. Neurol. & Psychiat. 12:487 ( (Nov.) ) 1924. 5. Keith, W. S.: Glossopharyngeal Neuralgia , Brain 55:357, 1932. 6. Reichert, F. L.: Tympanic Plexus Neuralgia (True Tic Douloureux of the Ear or So-Called Geniculate Ganglion Neuralgia): Cure Effected by Intracranial Section of the Glossopharyngeal Nerve , J. A. M. A. 100:1744 ( (June 3) ) 1933. 7. Hunt, Ramsey: The Symptom Complex of the Acute Posterior Poliomyelitides of the Geniculate, Auditory, Glossopharyngeal and Pneumogastric Ganglia , Arch. Int. Med. 5:630 ( (June) ) 1910. 8. Reichert, F. L., and Poth, E. J.: Pathways for the Secretory Fibers of the Salivary Glands in Man , Proc. Soc. Exper. Biol. & Med. 30:973 ( (April) ) 1933. 9. Stookey, Byron: Glossopharyngeal Neuralgia , Arch. Neurol. & Psychiat. 20:702 ( (Oct.) ) 1928. 10. Tarlov: To be published. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

PAROXYSMAL NEURALGIA OF THE TYMPANIC BRANCH OF THE GLOSSOPHARYNGEAL NERVE: Report of a Case in Which Relief Was Obtained by Intracranial Section of the Glossopharyngeal Nerve

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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0096-6754
DOI
10.1001/archneurpsyc.1936.02260050144009
Publisher site
See Article on Publisher Site

Abstract

Abstract Glossopharyngeal neuralgia is a definite clinical entity. The disease is rare, and the possible clinical variants are not as well understood as they are in cases of trigeminal neuralgia. In its sudden brief painful paroxysms, in the complete relief afforded by section of the posterior root and in the obscure etiology, it resembles tic douloureux of the fifth nerve. The pain of trigeminal neuralgia may originate in any of the peripheral branches of any of the three sensory divisions of the nerve. A priori, it is reasonable to suppose that the same phenomenon may be expected in glossopharyngeal neuralgia, and it does occur. The justification for reporting the following case is the fact that it is an example of paroxysmal neuralgia originating in the tympanic branch of the glossopharyngeal nerve; the trigger zone initiating the pain was probably within the eustachian tube, and complete relief followed intracranial section of the References 1. Poth, E. J.: A Simplified Technique for Quantitative Collection of Salivary Secretions in Man , Proc. Soc. Exper. Biol. & Med. 30:977 ( (April) ) 1933. 2. Reichert, F. L.: Neuralgias of the Glossopharyngeal Nerve , Arch. Neurol. & Psychiat. 32:1030 ( (Nov.) ) 1934. 3. Doyle, J. B.: Glossopharyngeal Neuralgia , Arch. Neurol. & Psychiat. 9:34 ( (Jan.) ) 1923. 4. Adson, A. W.: The Surgical Treatment of Glossopharyngeal Neuralgia , Arch. Neurol. & Psychiat. 12:487 ( (Nov.) ) 1924. 5. Keith, W. S.: Glossopharyngeal Neuralgia , Brain 55:357, 1932. 6. Reichert, F. L.: Tympanic Plexus Neuralgia (True Tic Douloureux of the Ear or So-Called Geniculate Ganglion Neuralgia): Cure Effected by Intracranial Section of the Glossopharyngeal Nerve , J. A. M. A. 100:1744 ( (June 3) ) 1933. 7. Hunt, Ramsey: The Symptom Complex of the Acute Posterior Poliomyelitides of the Geniculate, Auditory, Glossopharyngeal and Pneumogastric Ganglia , Arch. Int. Med. 5:630 ( (June) ) 1910. 8. Reichert, F. L., and Poth, E. J.: Pathways for the Secretory Fibers of the Salivary Glands in Man , Proc. Soc. Exper. Biol. & Med. 30:973 ( (April) ) 1933. 9. Stookey, Byron: Glossopharyngeal Neuralgia , Arch. Neurol. & Psychiat. 20:702 ( (Oct.) ) 1928. 10. Tarlov: To be published.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: May 1, 1936

References