Glossopharyngeal Neuralgia

Treating Glossopharyngeal Neuraligia in Orange County

Treating Glossopharyngeal Neuraligia in Orange CountyGlossopharyngeal neuralgia is condition caused most frequently by an abnormal looping artery impinging against the Glossopharyngeal nerve, the root entry zone into the brain stem. This cranial nerve condition is similar to trigeminal neuralgia but is much less common. The shooting pain occurs in the throat, tonsil region, and base of the tongue on one side. The pain may be spontaneous and is often triggered by swallowing.

 

Some possible causes glossopharyngeal neuralgia re:

  • Blood vessels pressing on the glossopharyngeal nerve
  • Growths at the base of the skull pressing on the glossopharyngeal nerve
  • Tumors or infections of the throat and mouth pressing on the glossopharyngeal nerve
Symptoms of glossopharyngeal neuralgia include severe pain in areas connected to the ninth cranial nerve:

  • Back of the nose and throat (nasopharynx)
  • Back of the tongue
  • Ear
  • Throat
  • Tonsil area
  • Larynx or the voice box

The best diagnostic test for glossopharyngeal neuralgia is the topical application of cocaine or viscous xylocaine to the throat and tonsilar fossa on the affected side, which should provide temporary pain relief and can be used to allow the patient to eat as well as to confirm the diagnosis.

Initial treatment of glossopharyngeal neuralgia is medications. However, medications are not as effective for glossopharyngeal neuralgia as they are for trigeminal neuralgia. As a result, most of the patients require microvascular decompression (MVD) which is the only advisable surgical procedure. Minimally invasive keyhole approach for microvascular decompression (MVD) will allow your Orange County neurosurgeon Robert Louis, MD to move or separate the blood vessel and hold it away from the irritated glossopharyngeal nerve and the upper two branches of the vagus nerve. MVD is performed using endoscopic retromastoid approach to create a small quarter-sized bony opening behind the ear.

Minimally Invasive Keyhole Approach
Robert Louis, MD performs this operation is performed through a quarter-sized bony opening using endoscopic techniques. This keyhole approach preserves the surrounding normal structures as best as possible. Depending on the nerve affected, various other therapies may be indicated. By incorporating cutting edge technology and instrumentation with proven surgical experience, we make surgery safer, less invasive and more effective. Learn more about cranial nerve disorders.

Robert Louis, MD specializes in minimally invasive removal of chordoma. Less invasive keyhole surgical approaches incorporates Dr. Louis’ experience and education with cutting edge technology and instrumentation.

Retomastoid Approach-Facial nerves and blood vessels may be approached directly using the Retromastoid Approach. Robert Louis, MD specializes in this state-of-the-art, minimally invasive keyhole approach in accessesing cranial nerves and blood vessels through a small bony opening behind the ear. This approach incorporates cutting edge technology and instrumentation with Dr. Louis surgical experience and training, making surgery safer, less invasive and more effective.Read more about Retromastoid Approach.

Ablation Therapy
Ablation therapy is designed to ablate or selectively destroy specific fibres of the glossopharyngeal nerve and spare healthy tissue and lower risk and discomfort for patients. This therapy consists of various approaches of cutting or sectioning the nerve. Ablation therapy is recommended as a last resort.

Robert Louis, MD, a fellowship-trained Orange County Neurosurgeon, is the Director of the Skull Base and Pituitary Tumor Program at Hoag Memorial Hospital in Orange County, California. Dr. Louis has particular expertise in endoscopic and minimally invasive treatment of benign and malignant brain tumors, sellar and parasellar tumors and skull base tumors.

Dr. Robert Louis specializes in minimally invasive brain surgery for the treatment of chordoma. For appointments, please call (949) 274-7336 or Contact Us.