• Der Schmerz · Feb 2011

    Case Reports

    [Glossopharyngeal neuralgia after resection of a glossopharyngeal schwannoma].

    • C L Lassen, T Kleinjung, J Strutz, B M Graf, and C H R Wiese.
    • Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee-11, 93053 Regensburg, Deutschland. christoph.lassen@klinik.uni-regensburg.de
    • Schmerz. 2011 Feb 1; 25 (1): 89-92.

    AbstractGlossopharyngeal neuralgia is a rare condition and the origin is mostly idiopathic. Causes of symptomatic glossopharyngeal neuralgia can be tumors, infarction or trauma. We report the case of a 28-year-old patient who developed glossopharyngeal neuralgia after resection of a glossopharyngeal schwannoma, which is an extremely rare tumor. Treatment consisted of orally administered pregabalin and a series of injections of buprenorphine in the superior cervical ganglion (ganglionic local opioid application/analgesia, GLOA) which led to a substantial decrease in the frequency of pain attacks. This improvement was maintained at 1-year follow-up. This is the first report of development of glossopharyngeal neuralgia after resection of a glossopharyngeal schwannoma.

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