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Widi Nugroho, Setyo
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Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Glossopharyngeal Neuralgia Treated with Microvascular Decompression Widi Nugroho, Setyo; Fachniadin, Ande; Octaviana, Fitri; Santoso, Fabianto; Amelia, Ria; Satriawan, Ricky Rusydi; Ardiansyah, Irfani Ryan; Pramudya, Hermawan
eJournal Kedokteran Indonesia Vol. 13 No. 1 (2025): Vol 13, No. 1 - April 2025
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.13.1072.98

Abstract

Glossopharyngeal neuralgia (GPN) poses a unique challenge in that its clinical symptoms, especiallypain in the facial area, can be misinterpreted as other cranial nerve and dental disorders. Microvasculardecompression (MVD) is typically the definitive treatment. We encountered a case in which MVD wassuccessfully performed to relieve pain in a patient with left-sided GPN in a 38-year-old male who presentedwith severe episodic pain in the tongue, cheek, and jaw. The patient had undergone dental surgery andpharmacological therapy only to experience temporary relief from gradually worsening clinical symptoms.Fiberoptic endoscopic evaluation of swallowing and brain magnetic resonance imaging with constructiveinterference in steady-state sequences were used to support the diagnosis of GPN. MVD was then performedto surgically relieve the vascular compression of the left glossopharyngeal nerve, resulting in significantclinical improvement. MVD could be an option to decrease pain and other symptoms in patients with GPN thatcould not be treated with pharmacological therapy.
Co-Authors Amelia, Ria Ardiansyah, Irfani Ryan Fachniadin, Ande Fitri Octaviana Pramudya, Hermawan Ricky Rusydi Satriawan Santoso, Fabianto