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Schmerz. 2011 Feb;25(1):89-92. doi: 10.1007/s00482-010-1007-y.

[Glossopharyngeal neuralgia after resection of a glossopharyngeal schwannoma].

[Article in German]

Author information

1
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee-11, 93053 Regensburg, Deutschland. christoph.lassen@klinik.uni-regensburg.de

Abstract

Glossopharyngeal 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.

PMID:
21181418
DOI:
10.1007/s00482-010-1007-y
[Indexed for MEDLINE]
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