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Case report: Trigeminal neuralgia misdiagnosed as glossopharyngeal neuralgia.


ABSTRACT:

Background

Trigeminal neuralgia (TN) and glossopharyngeal neuralgia (GPN) are cranial nerve neuralgias with the same clinical manifestations, pathological features, and trigger factors; their affected sites are adjacent. Performing a magnetic resonance imaging (MRI) examination alone can easily lead to a misdiagnosis.

Case presentation

A 72-year-old man had visited another hospital with severe left-sided tongue pain. On MRI, vascular compression of the glossopharyngeal nerve had been visible, with unclear evidence of trigeminal nerve involvement. He had been diagnosed with left-sided GPN and underwent microvascular decompression (MVD) of the left glossopharyngeal nerve. However, no improvement was observed after surgery. During a second surgery at our hospital, MVD of the tr

SUBMITTER: Wu L 

PROVIDER: S-EPMC9892896 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature