Glossopharyngeal Neuralgia Due to Vertebrobasilar Dolichoectasia Coexisting with Fusiform Aneurysm of the Basilar Artery

DOI: 10.4236/crcm.2014.310118   PDF   HTML     2,622 Downloads   3,018 Views  


Glossopharyngeal neuralgia (GPN) refers to paroxysmal severe pain located to glossopharyngeal part or ear, which is a rare clinical event. In this report, we describe a patient suffered from glossopharyngeal neuralgia due to vertebrobasilar dolichoectasia (VBD). A 72-year-old Chinese male was referred to our clinic with a complaint of paroxysmal severe pain in the right external auditory canal and auricle since 1 month, which could be precipitated by feed and accompanied with the vagus nerve irritation (bradycardia, low blood pressure, syncope) sometimes. Both computed tomographic angiography and digital subtraction angiography demonstrated a VBD (maximum diameter 5.7 mm) and a large fusiform aneurysm of basilar artery (maximum diameter 13.8 mm). The diagnosis is established on clinical and radiological signs. This is the first report of this kind in the literature. Although a few cases demonstrate that VBD can cause GPN, it should be considered as a possible etiology in patients with GPN.

Share and Cite:

Zhong, J. , Dai, Z. , Chen, F. , Wang, G. , Shi, H. , Song, W. and Dong, C. (2014) Glossopharyngeal Neuralgia Due to Vertebrobasilar Dolichoectasia Coexisting with Fusiform Aneurysm of the Basilar Artery. Case Reports in Clinical Medicine, 3, 545-548. doi: 10.4236/crcm.2014.310118.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Van Hecke, O., Austin, S.K., Khan, R.A., Smith, B.H. and Torrance, N. (2014) Neuropathic Pain in the General Population: A Systematic Review of Epidemiological Studies. Pain, 155, 654-662.
[2] Wolters, F.J., Rinkel, G.J. and Vergouwen, M.D. (2013) Clinical Course and Treatment of Vertebrobasilar Dolichoectasia: A Systematic Review of the Literature. Neurological Research, 35, 131-137.
[3] Phuong, H.L., Matsushima, T., Hisada, K. and Matsumoto, K. (2004) Glossopharyngeal Neuralgia Due to an Epidermoid Tumour in the Cerebellopontine Angle. Journal of Clinical Neuroscience, 11, 758-760.
[4] Warren, H.G., Kotsenas, A.L. and Czervionke, L.F. (2006) Trigeminal and Concurrent Glossopharyngeal Neuralgia Secondary to Lateral Medullary Infarction. American Journal of Neuroradiology, 27, 705-707.
[5] Rey-Dios, R. and Cohen-Gadol, A.A. (2013) Current Neurosurgical Management of Glossopharyngeal Neuralgia and Technical Nuances for Microvascular Decompression Surgery. Neurosurgical Focus, 34, E8.
[6] Ruiz-Juretschke, F., Garcia-Leal, R., Garcia-Duque, S., Panadero, T. and Aracil, C. (2012) Glossopharyngeal Neuralgia in the Context of a Chiari Type I Malformation. Journal of Clinical Neuroscience, 19, 614-616.
[7] Smoker, W.R., Price, M.J., Keyes, W.D., Corbett, J.J. and Gentry, L.R. (1986) High-Resolution Computed Tomography of the Basilar Artery: 1. Normal Size and Position. American Journal of Neuroradiology, 7, 55-60.
[8] Smoker, W.R., Corbett, J.J., Gentry, L.R., Keyes, W.D., Price, M.J. and McKusker, S. (1986) High-Resolution Computed Tomography of the Basilar Artery: 2. Vertebrobasilar Dolichoectasia: Clinical-Pathologic Correlation and Review. American Journal of Neuroradiology, 7, 61-72.

comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.