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

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DOI: 10.4236/crcm.2014.310118    2,471 Downloads   2,791 Views  

ABSTRACT

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.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

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.

References

[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.
http://dx.doi.org/10.1016/j.pain.2013.11.013
[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.
http://dx.doi.org/10.1179/1743132812Y.0000000149
[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.
http://dx.doi.org/10.1016/j.jocn.2003.07.013
[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.
http://dx.doi.org/10.1016/j.jocn.2011.05.040
[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.

  
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