Symptoms of glossal neuritis?

summary

The etiology of glossopharyngeal neuralgia can be divided into secondary and primary. Tumors, aneurysms, arachnoiditis, neck trauma and calcification of styloid hyoid ligament in the cerebellopontine angle and its adjacent parts can stimulate and compress the glossopharyngeal nerve and cause neuralgia. Recently, many scholars believe that the vertebral artery or posterior inferior cerebellar artery and its branches straddle the glossopharyngeal and vagus nerve roots into the brain stem and cause glossopharyngeal neuralgia. Symptoms of glossal neuritis? Let's talk about it

Symptoms of glossal neuritis?

The typical clinical feature is sudden knife like or burning like pain in one side of pharynx, tongue base and tonsil. Pain can be limited to the pharynx, but also to the mandible, external auditory canal and neck radiation. Occasionally, the pain was confined to the deep part of the external auditory canal, which was related to the tympanic branch affecting the glossopharyngeal nerve. Most of the pain was sudden and lasted for a short time. The duration of pain was rarely more than 1 minute.

Pain can be induced by swallowing, chewing and speaking. Paroxysmal cough, pharyngeal spasm, increased salivary secretion, sweating, tears, tachycardia, decreased or increased blood pressure, cardiac arrest and other symptoms of vagus nerve stimulation may be associated with the onset of pain.

Most of the pain is unilateral, occasionally coexisting with trigeminal neuralgia, rarely bilateral glossopharyngeal neuralgia. Although the onset of primary glossopharyngeal neuralgia is intolerable, there is no positive sign, and the interval of attack is normal. Glossopharyngeal neuralgia rarely has "trigger point", occasionally "trigger point" is often in the tonsil fossa.

matters needing attention

Comprehensive treatment: carbamazepine and phenytoin sodium can be used in the early stage of glossopharyngeal neuralgia, and the patient's pain can be relieved. Pharyngeal tetracaine spray or glossopharyngeal nerve blocking can also achieve certain effect, but the duration is short.