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Glossopharyngeal Neuralgia is very rare as it rates 1/100 of trigeminal neuralgia.
It is sometimes difficult to distinguish from trigeminal neuralgia if the area of pain only restricted inside the mouth.
Sharp pain when swallowing is a typical symptom of this disease, which severely disturb daily food intake.
The pain may be accompanied by loss of consciousness.
Carbamazepine is effective to reduce this pain, however, curative treatment is microvascular decompression for the artery running on the glossopharyngeal nerve.
The surgery is quite similar with that of hemifacial spasm, which needs to observe a little lower than the facial nerve.
| 3D Image |
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| Glossopharyngeal nerve (light blue) was pinched by two culprit arteries on both side of the nerve (red and pink). |
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| 3D bone image guides the appropriate course for the glossopharyngeal nerve. |
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| Operative view. |
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Glossopharyngeal nerve was compressed as shown preoperative image.
The patient’s pain was totally relieved after microvascular decompression. |
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Takuro INOUE M.D., Ph.D.
Chief Director, Neurosurgery, Kotoh Memorial Hospital
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2015 |
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Chief Director, visiting consultant Andalusia Hospital, Egypt |
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2010
to present |
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Chief Director, Kotoh Memorial Hospital, Shiga, Japan |
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2007 |
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Clinical training at Duke University, USA |
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2004 |
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Gamma Knife training at Kalorinska University, Sweden |
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1998-2009 |
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Neurosurgery, Hino Memorial Hospital, Shiga, Japan |
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1997-1998 |
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University of British Columbia, Canada |
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1994-1996 |
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Neurosurgery, Okamoto General Hospital, Kyoto, Japan |
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1992-1993 |
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Neurosurgery, Saiseikai Noe Hospital, Osaka, Japan |
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1991-1992 |
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Neurosurgery, University of Shiga Medical Science Hospital |
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2013 Skull Base Workshop, Chulalongkorn University, Thailand
2013 Asean Cerebrovascular Skull Base Hand On Course & Symposium, Chulalongkorn University, Thailand
2011 Advanced Skull Base Microanatomy Workshop and Hands-On Dissection Course, Florida, USA
2010 Advanced Skull Base Microanatomy Workshop and Hands-On Dissection Course, Florida, USA
2008 Cadaver Workshop on Skull Base, Aichi, Japan
2008 Cadaver Dissection Course, Kyoto, Japan |
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For your reservation, E-mail
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subaru@gammaknife-c.jp or leave message
here
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