[Vascular decompression in the treatment of vagoglossopharyngeal neuralgia].

Q4 Medicine

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Pub Date : 2026-01-01 DOI:10.17116/neiro20269004115

G Yu Grigoryan, D Yu Usachev, Yu A Grigoryan

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引用次数: 0

Abstract

Background: Vagoglossopharyngeal neuralgia (VGFN) is an uncommon facial pain syndrome caused by neurovascular conflict.

Objective: To evaluate anatomical relationships between cranial nerves IX-X and compressing arteries, as well as effectiveness of vascular decompression (VD) in these patients.

Material and methods: VD via retrosigmoid approach was performed in 9 patients with VGFN. Age of patients was 33-72 years. There were 4 males and 5 females. Two ones had right-sided lesions, 7 - left-sided lesions. Mean follow-up period was 8.5 years (range 3-15).

Results: Neurovascular conflict was caused by posterior inferior cerebellar artery (PICA) in 6 cases, anterior inferior cerebellar artery (AICA) and PICA in 2 cases, PICA and vertebral artery in 1 case. Interposition technique was used in 7 cases, transposition of vessels - in 2 cases. Complete relief of VGFN was achieved in all patients. Mild dysphonia without dysphagia was registered in 1 case and regressed throughout 1.5 months. There were no VGFN recurrences.

Conclusion: VD is a highly effective surgical method for VGFN with low rate of complications and pain recurrences.

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血管减压治疗迷走舌咽神经痛。

背景：迷走舌咽神经痛（VGFN）是一种罕见的由神经血管冲突引起的面部疼痛综合征。目的：探讨颅神经IX-X与压迫性动脉的解剖关系及血管减压术的疗效。材料和方法：对9例VGFN患者行乙状结肠后入路VD。患者年龄33 ~ 72岁。男性4人，女性5人。2例右侧病变，7例左侧病变。平均随访时间为8.5年（范围3-15年）。结果：小脑后下动脉（PICA）引起神经血管冲突6例，小脑前下动脉（AICA）与PICA发生冲突2例，PICA与椎动脉发生冲突1例。介入术7例，血管转位术2例。所有患者的VGFN均得到完全缓解。轻度发音障碍无吞咽困难1例，在1.5个月内消退。无VGFN复发。结论：VD是治疗VGFN的有效手术方法，并发症发生率低，疼痛复发率低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko Medicine-Neurology (clinical)

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： Scientific and practical peer-reviewed journal. This publication covers the theoretical, practical and organizational problems of modern neurosurgery, the latest advances in the treatment of various diseases of the central and peripheral nervous system. Founded in 1937. English version of the journal translates from Russian version since #1/2013.