Gradual aggravation of idiopathic glossopharyngeal neuralgia due to chronic tonsillitis: A case report.

Abstract:

RATIONALE:Glossopharyngeal neuralgia (GPN) is a rare type of neuralgia. Depending on the cause, it is classified as idiopathic GPN and secondary GPN. Secondary GPN can also be caused by a mass effect or inflammation of the tonsils, the innervation area of glossopharyngeal nerve. PATIENT CONCERNS:The patient was diagnosed idiopathic GPN 8 years ago. The patient had intermittent pain, but the pain was well controlled. From 5 months ago, the pain gradually worsened, the patient complained severe pain which impaired chewing and swallowing function. DIAGNOSES:Idiopathic GPN, secondary GPN, chronic tonsillitis INTERVENTIONS:: Percutaneous glossopharyngeal nerve block, glossopharyngeal neurolysis, and pulsed radiofrequency neuromodulation of glossopharyngeal nerve were performed. After the diagnosis of tonsillitis, antibiotic therapy was performed OUTCOMES:: Two weeks after the antibiotic treatment, the pain decreased simultaneously with the patient's tonsillitis recovery. LESSONS:In a Patient who had already been diagnosed with idiopathic GPN, both pain control and its cause should be considered when the pain is aggravated.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Kim E,Do W,Jung YH,Lee J,Baik J

doi

10.1097/MD.0000000000015234

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

e15234

issue

17

eissn

0025-7974

issn

1536-5964

pii

00005792-201904260-00021

journal_volume

98

pub_type

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