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Glossopharyngeal Neuralgia

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
Glossopharyngeal nerve (light blue) was pinched by two culprit arteries on both side of the nerve (red and pink).
3D bone image guides the appropriate course for the glossopharyngeal nerve.

Operative view.
Glossopharyngeal nerve was compressed as shown preoperative image.
The patientfs pain was totally relieved after microvascular decompression.
Takuro INOUE M.D., Ph.D.
Chief Director, Neurosurgery, Kotoh Memorial Hospital

2015 Chief Director, visiting consultant Andalusia Hospital, Egypt Takuro INOUE
2010
to present
Chief Director, Kotoh Memorial Hospital, Shiga, Japan
2007 Clinical training at Duke University, USA
2004 Gamma Knife training at Kalorinska University, Sweden
1998-2009 Neurosurgery, Hino Memorial Hospital, Shiga, Japan
1997-1998 University of British Columbia, Canada
1994-1996 Neurosurgery, Okamoto General Hospital, Kyoto, Japan
1992-1993 Neurosurgery, Saiseikai Noe Hospital, Osaka, Japan
1991-1992 Neurosurgery, University of Shiga Medical Science Hospital

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
For your reservation, E-mail
subaru@gammaknife-c.jp or leave message here


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