Neurovascular compression of the trigeminal and glossopharyngeal nerve: three case reports.

Abstract:

:Trigeminal neuralgia (TN) is a frequent cause of paroxysmal facial pain and headache in adults. Glossopharyngeal neuralgia (GPN) is less common, but can cause severe episodic pain in the ear and throat. Neurovascular compression of the appropriate cranial nerve as it leaves the brain stem is responsible for the symptoms in many patients, and neurosurgical decompression of the nerve is now a well accepted treatment in adults with both TN and GPN who fail to respond to drug therapy. Neither TN nor GPN are routinely considered in the differential diagnosis when assessing children with paroxysmal facial or head pain, as they are not reported to occur in childhood. Case reports of three children with documented neurovascular compression causing severe neuralgic pain and disability are presented. The fact that these conditions do occur in the paediatric population, albeit rarely, is highlighted, and appropriate investigation and management are discussed.

journal_name

Arch Dis Child

authors

Childs AM,Meaney JF,Ferrie CD,Holland PC

doi

10.1136/adc.82.4.311

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

311-5

issue

4

eissn

0003-9888

issn

1468-2044

journal_volume

82

pub_type

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