GLOSSOPHARYNGEAL NEURALGIA BY NEUROVASCULAR COMPRESSION WITH POSTERIOR INFERIOR CEREBELLAR ARTERY (PICA)– A CASE REPORT WITH REVIEW

Dr. Sunil K Gothwal; Dr. Deepak Gahlan; Dr. navdeep Khurana; Dr. M. Sabir

Volume : IV, Issue : IX, September - 2015

GLOSSOPHARYNGEAL NEURALGIA BY NEUROVASCULAR COMPRESSION WITH POSTERIOR INFERIOR CEREBELLAR ARTERY (PICA)– A CASE REPORT WITH REVIEW

Dr. Sunil K Gothwal, Dr. Deepak Gahlan, Dr. Navdeep Khurana, Dr. M. Sabir

Abstract :

<p>Glossopharyngeal neuralgia (GPN) is a rare disorder with incidence of 0.7 in per 10,000 people. It usually begins after the age of 40 and commonly in men. It is characterized by paroxysm of unilateral severe lancinating pain in the tongue, throat, tonsil and may radiate to the ear. The pain is acute in onset and sharp, stabbing or burning in quality and may last for few second to few minutes and can be provoked by talking, chewing, swallowing, coughing and yawning. Glossopharyngeal neuralgia is believed to be caused by irritation of the the glossopharyngeal nerve. The causes of GPN are diverse and are usually divided into two groups, idiopathic and secondary causes such as neoplasm, inflammatory diseases, infections, chiari I malformation, infaction and neurovascular compression. In our case GPN found to be caused by compression of left glossopharyngeal nerve by left PICA.</p>