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Glossopharyngeal and vagoglossopharyngeal neuralgia: Long-term surgical outcomes in a single institution

Year: 2023

Type: article

Abstract: Background: Glossopharyngeal neuralgia (GPN) and vagoglossopharyngeal neuralgia (VGPN) are infrequent syndromes that can have great negative impact on a patient’s quality of life. The objective of this study is to describe the characteristics and long-term results of patients with GPN-VGPN who are treated surgically with microvascular decompression (MVD) in one institution. Methods: This is a retrospective series of 20 patients with the diagnosis of GPN-VGPN who underwent MVD. Demographic characteristics, surgical results, complications, and long-term follow-up were analyzed. Results: The mean age of symptom onset was 51.25 years and the majority of patients were women (60%). The posterior inferior cerebellar artery was the main offending vessel (75%). The immediate MVD success rate was 100%, but during follow-up, two patients (10%) were diagnosed with VGPN and both cases presented pain recurrence. The mean follow-up was 120.4 (25–333) months. VGPN ( P = 0.005) and a ≥5 day hospital stay ( P = 0.032) were associated with unsuccessful outcomes. Two complications were documented, which resolved without sequelae. There was no surgical mortality. Conclusion: MVD is an effective and safe treatment for long-term pain relief of GPN-VGPN. VGPN and a prolonged hospital stay were associated with poor outcomes. More studies are required to confirm these findings.

Source: Surgical Neurology International

DOI: 10.25259/sni_518_2023

Authors: Rogelio Revuelta-Gutiérrez, Fernando Piñon-Jiménez, Oscar Rubén Contreras-Vázquez, Lourdes Olivia Vales-Hidalgo, Jaime Jesús Martinez-Anda

Institution: Instituto Nacional de Neurología y Neurocirugía

Language: English

Topic: Trigeminal Neuralgia and Treatments

Subfield: Clinical Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4385346352