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Nanjing Brain Hospital received a patient
For three years the throat had been as sore as a knife cut
Even eating and drinking is a problem
Seeking medical treatment from place to place has not improved
"Eating, drinking, swallowing and spitting are painful, it hurts too much, just like swallowing a blade, I can't sleep all night, it has been three or four years, the major hospitals in the family have seen it, the otolaryngology department, the pain department have not been found out, and a lot of medicine is useless."
Because of extreme pain, patients develop depression, anxiety, and their lives are seriously affected. Recently, she came to Nanjing Brain Hospital for treatment, and the doctor preliminarily judged that the patient may have a rare neurological disease: glossopharyngeal neuralgia.
Subsequent MRI examination confirmed the diagnosis.
Luo Zhengxiang Is the deputy chief physician of the Department of Neurosurgery of Nanjing Brain Hospital
Glossopharyngeal nerve is a nerve in the brain, the main tube pharyngeal wall, tonsils, the base of the tongue, the bottom of the ear feeling, the glossopharyngeal nerve in the position of the brainstem is compressed by blood vessels, vascular fluctuations are stimulated, resulting in abnormal release of bioelectricity, resulting in electric shock, knife cutting, needle poke like pain, can be painful several times dozens or even hundreds of times a day.
According to doctors, the annual incidence of glossopharyngeal neuralgia is not high, about 0.2 to 0.7 per 100,000, so it is easy to be misdiagnosed and missed.
Currently, glossopharyngeal neuralgia can be relieved by surgical treatment.
"Just cut a 6 cm long opening behind the ear, find this hyopharyngeal nerve through the gap in the brain tissue, find the blood vessel that compresses the glossopharyngeal nerve, separate the nerve from the blood vessel, and do not produce compression."
At present, the patient has improved, "no pain, now I can sleep." ”
Doctors caution that if there is a persistent and unresponsive sore throat, neurosurgery should be considered to exclude glossopharyngeal neuralgia.
In addition, the appearance of persistent unassertion headaches, toothaches should also be noted, may also be neuralgia, "such as the upper alveolar and lower alveoli a touch of pain, sometimes misdiagnosed as toothache, after the tooth extraction of the nerve pain without any relief, the main reason is that the trigeminal nerve is compressed by blood vessels, this must be distinguished from the toothache of the department of stomatology. ”
Source: Jiangsu News