Glossopharyngeal Neuralgia: A Multimodality Treatment Approach

Authors: JAYALAKSHMI T.S.; DUREJA G.P.; BHALLA A.P.

Source: Analgesia, Volume 5, Number 1, 2001 , pp. 35-37(3)

Publisher: Cognizant Communication Corporation

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Abstract:

Eighteen consecutive patients of unilateral glossopharyngeal neuralgia (GN) were studied for 1 year to investigate the efficacy of a multimodality treatment regime. Two combinations of treatment modalities were used. Group A received oral carbamazepine 100–300 mg in divided doses, amitryptiline 10–25 mg, repeated glossopharyngeal nerve blocks with 0.25% 2 ml bupivacaine extraorally, and transcutaneous electrical nerve stimulation (TENS) therapy. Group B received the same drugs as group A and an intraoral approach for glossopharyngeal nerve block and acupuncture instead of TENS therapy. All were reviewed every 4 weeks and followed up for 3 months. Seventy-five percent relief of symptoms was found in all patients of both groups. Multimodality regime was found to be effective and it avoided high dosage of anticonvulsants and adjuvants.

Keywords: Glossopharyngeal neuralgia Multimodality treatment

Language: English

Document Type: Research article

Affiliations: 1: Department of Anaesthesia & Intensive Care, All India Institute of Medical Sciences, New Delhi, India

Publication date: 2001-01-01

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