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Glossopharyngeusnevralgi

Sist revidert:
Sist revidert av:
Definisjon:
Anfallsvise smerter i områder innervert av hjernenerve IX (glossopharyngeus) og X (vagus)
Forekomst:
Sjelden tilstand
Symptomer:
Ensidige, paroksysmale smerter i svelget, tungeroten, tonsillen, kjevevinkelen eller øret
Funn:
Ingen nevrologiske utfall
Diagnostikk:
Det er ingen diagnostiske tilleggsundersøkelser, men MR bør gjøres for å utelukke annen sykdom
Behandling:
Akutt med sterke analgetika. Forebygges med antiepileptika. Ev. kirurgi
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  8. Hiwatashi A, Matsushima T, Yoshiura T, et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression. AJR Am J Roentgenol 2008; 191:578. PubMed  
  9. Weisenburg TH. Cerebellopontine tumor diagnosed for six years as tic douloureux. The symptoms of irritations of the IX th and XII th cranial nerves. JAMA 1910; 54: 1600 - 4. Journal of the American Medical Association  
  10. Nick ST, Roberts C, Billiodeaux S, et al. Multiple sclerosis and pain. Neurol Res. 2012;34(9):829-841. PubMed  
  11. Hiwatashi A, Matsushima T, Yoshiura T, et al. MRI of glossopharyngeal neuralgia caused by neurovascular compression. AJR Am J Roentgenol 2008; 191: 578. PubMed  
  12. Guay DR: Pregabalin in neuropathic pain: A more pharmaceutically elegant gabapentin? Am J Geriatr Pharmacother 2005; 3: 274-87. PubMed  
  13. Martínez-Álvarez R, Martínez-Moreno N, Kusak ME, Rey-Portolés G. Glossopharyngeal neuralgia and radiosurgery. J Neurosurg 2014; 121: Suppl:222-5.
  14. Ma Y, Li YF, Wang QC, Wang B, Huang HT. , Neurosurgical treatment of glossopharyngeal neuralgia: analysis of 103 cases. J Neurosurg 2016;124: 1088-92 PubMed  
  • Terje Johannessen, professor i allmennmedisin, Trondheim (tilpasning til NEL)

Tidligere fagmedarbeidere

  • Espen Dietrichs, professor og avdelingsoverlege, Universitetet i Oslo og Nevrologisk avdeling, Rikshospitalet, Oslo
  • Jakob Christensen, overlæge, Neurologisk afdeling F, Århus
  • Michael Bjørn Russell, prof., overlæge, ph.d., dr. med., Neurologisk afd., Akershus Universitetssygehus, Oslo