Neuralgia of a glossopharyngeal nerve

Description:

Neuralgia of a glossopharyngeal nerve has many similar lines with an epileptiform neuralgia and is characterized by paroxysmal pains on the one hand of a root of language, a throat and a soft palate at reception of hot, cold or firm food, a conversation, a zevaniye or cough.

Frequency. Meets seldom (0,16 on 100 000 population). Men are ill more often than women. Persons get sick, as a rule, 40 years are more senior.

Classification. There are two of its forms: primary (idiopathic) and secondary (symptomatic).

Symptoms of Neuralgia of a glossopharyngeal nerve:

The disease proceeds in the form of the painful paroxysms beginning in the field of a root of language or an almond and extending to a palatine velum, a throat, an ear. Pains sometimes irradiate in a corner of a mandible, an eye, a neck. Attacks proceed 1-3 min. Pains are always unilateral. During an attack patients complain of dryness in a throat; after an attack hypersalivation appears. Are sometimes noted morbidity at a palpation of area of a corner of a mandible and certain sites of outside acoustical pass (generally during an attack), decrease in a gag reflex, easing of mobility of a soft palate, a gipergeyziya to bitter in a back third of language (all flavoring irritations are perceived as bitter).

The disease proceeds with aggravations and remissions. Further pains can be the constants amplifying under the influence of various factors (in particular, when swallowing).

The similar clinical picture which is extremely difficult for distinguishing from a symptom complex of neuralgia of a glossopharyngeal nerve shows a ganglionitis of upper and lower nodes IX of a cranial nerve. The diagnosis of a ganglionitis does not raise doubts if in a pharynx and drinks arise herpetic rashes.

Reasons of Neuralgia of a glossopharyngeal nerve:

In development of a disease attach significance to atherosclerosis, infectious processes (an adenoid disease, quinsy, flu), intoxications, in particular poisoning with tetraethyllead. It is established that the syndrome of neuralgia of a glossopharyngeal nerve results from an almond bed injury excessively extended awl-shaped shoot, and also at ossification of a shilopodjyazychny sheaf, at tumors of a mostomozzhechkovy corner, aneurism of a carotid artery, throat cancer, etc.

Treatment of Neuralgia of a glossopharyngeal nerve:

For elimination of a painful paroxysm grease a root of language and a pharynx of 10% with cocaine solution that stops pain on 6-7 h. In persistent cases make novocaine injections (enter 2-5 ml of 1-2% of solution into a root of language), blockade trikhloretily or novocaine of area of a branching a carotid. Appoint non-narcotic analgesics. The diadynamic or sinusoidal modulated currents on retromandibular area, almonds, a throat are effective. The galvanization course is recommended (the anode on a language root.а the cathode on retromandibular area). Intramusculary appoint B1 vitamin, aminazine, inside - dipheninum, Finlepsinum. Fortifying means are recommended (vitamins, extract of an aloe, FIBS, ATP, phytin, a ginseng, strychnine, etc.). At increase in an awl-shaped shoot make its resection. In the absence of effect resort to a radicotomy at the level of a back cranial pole or to a tractotomy or a tractotomy.