Glossopharyngeal neuralgia due to vascular compression by tortuous left posterior inferior cerebellar artery

A high strength (1.5 T) MRI study

Bharat Mudalgi, A. Gaikwad, S. Prabhu, J. Patil

Research output: Contribution to journalArticle

Abstract

Glossopharyngeal neuralgia is a rare condition with a frequency about 1% of that of trigeminal neuralgia. Vascular compression is a common and treatable cause of glossopharyngeal neuralgia. Microvascular decompression of the glossopharyngeal nerve is an effective treatment option for patients in whom the disease is caused by compression of the nerve by a blood vessel. Pre-operative detection of the pathology on imaging has become possible with high strength MRI imaging. We describe the case of a 54-year-old man with left glossopharyngeal neuralgia. Constructive interference in steady-state (CISS) and flow sensitive Gradient Echo MRI sequences clearly demonstrated the compression of the IX nerve by the left posterior inferior cerebellar artery (PICA). The patient was operated upon and a Teflon graft was put in between the nerve and the vessel. The intra-operative photographs and post-operative images are also presented here. After surgery, the patient improved symptomatically with no recurrence of the symptoms in the follow-up period of about eight months.

Original languageEnglish
Pages (from-to)513-516
Number of pages4
JournalNeuroradiology Journal
Volume20
Issue number5
DOIs
Publication statusPublished - 01-01-2007

Fingerprint

Glossopharyngeal Nerve Diseases
Blood Vessels
Arteries
Microvascular Decompression Surgery
Glossopharyngeal Nerve
Trigeminal Neuralgia
Polytetrafluoroethylene
Pathology
Transplants
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

@article{6367622a1ebf4647b0ad2df4b3324b99,
title = "Glossopharyngeal neuralgia due to vascular compression by tortuous left posterior inferior cerebellar artery: A high strength (1.5 T) MRI study",
abstract = "Glossopharyngeal neuralgia is a rare condition with a frequency about 1{\%} of that of trigeminal neuralgia. Vascular compression is a common and treatable cause of glossopharyngeal neuralgia. Microvascular decompression of the glossopharyngeal nerve is an effective treatment option for patients in whom the disease is caused by compression of the nerve by a blood vessel. Pre-operative detection of the pathology on imaging has become possible with high strength MRI imaging. We describe the case of a 54-year-old man with left glossopharyngeal neuralgia. Constructive interference in steady-state (CISS) and flow sensitive Gradient Echo MRI sequences clearly demonstrated the compression of the IX nerve by the left posterior inferior cerebellar artery (PICA). The patient was operated upon and a Teflon graft was put in between the nerve and the vessel. The intra-operative photographs and post-operative images are also presented here. After surgery, the patient improved symptomatically with no recurrence of the symptoms in the follow-up period of about eight months.",
author = "Bharat Mudalgi and A. Gaikwad and S. Prabhu and J. Patil",
year = "2007",
month = "1",
day = "1",
doi = "10.1177/197140090702000507",
language = "English",
volume = "20",
pages = "513--516",
journal = "Neuroradiology Journal",
issn = "1971-4009",
publisher = "Centauro srl",
number = "5",

}

Glossopharyngeal neuralgia due to vascular compression by tortuous left posterior inferior cerebellar artery : A high strength (1.5 T) MRI study. / Mudalgi, Bharat; Gaikwad, A.; Prabhu, S.; Patil, J.

In: Neuroradiology Journal, Vol. 20, No. 5, 01.01.2007, p. 513-516.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Glossopharyngeal neuralgia due to vascular compression by tortuous left posterior inferior cerebellar artery

T2 - A high strength (1.5 T) MRI study

AU - Mudalgi, Bharat

AU - Gaikwad, A.

AU - Prabhu, S.

AU - Patil, J.

PY - 2007/1/1

Y1 - 2007/1/1

N2 - Glossopharyngeal neuralgia is a rare condition with a frequency about 1% of that of trigeminal neuralgia. Vascular compression is a common and treatable cause of glossopharyngeal neuralgia. Microvascular decompression of the glossopharyngeal nerve is an effective treatment option for patients in whom the disease is caused by compression of the nerve by a blood vessel. Pre-operative detection of the pathology on imaging has become possible with high strength MRI imaging. We describe the case of a 54-year-old man with left glossopharyngeal neuralgia. Constructive interference in steady-state (CISS) and flow sensitive Gradient Echo MRI sequences clearly demonstrated the compression of the IX nerve by the left posterior inferior cerebellar artery (PICA). The patient was operated upon and a Teflon graft was put in between the nerve and the vessel. The intra-operative photographs and post-operative images are also presented here. After surgery, the patient improved symptomatically with no recurrence of the symptoms in the follow-up period of about eight months.

AB - Glossopharyngeal neuralgia is a rare condition with a frequency about 1% of that of trigeminal neuralgia. Vascular compression is a common and treatable cause of glossopharyngeal neuralgia. Microvascular decompression of the glossopharyngeal nerve is an effective treatment option for patients in whom the disease is caused by compression of the nerve by a blood vessel. Pre-operative detection of the pathology on imaging has become possible with high strength MRI imaging. We describe the case of a 54-year-old man with left glossopharyngeal neuralgia. Constructive interference in steady-state (CISS) and flow sensitive Gradient Echo MRI sequences clearly demonstrated the compression of the IX nerve by the left posterior inferior cerebellar artery (PICA). The patient was operated upon and a Teflon graft was put in between the nerve and the vessel. The intra-operative photographs and post-operative images are also presented here. After surgery, the patient improved symptomatically with no recurrence of the symptoms in the follow-up period of about eight months.

UR - http://www.scopus.com/inward/record.url?scp=35948956962&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=35948956962&partnerID=8YFLogxK

U2 - 10.1177/197140090702000507

DO - 10.1177/197140090702000507

M3 - Article

VL - 20

SP - 513

EP - 516

JO - Neuroradiology Journal

JF - Neuroradiology Journal

SN - 1971-4009

IS - 5

ER -