Chiari type I malformation discovered through a glossopharyngeal neuralgia

Neurocirugia (Astur : Engl Ed). 2022 Nov-Dec;33(6):398-401. doi: 10.1016/j.neucie.2022.02.008. Epub 2022 Mar 4.

Abstract

Glossopharyngeal neuralgia is a rare disease whose initial treatment is pharmacological. When medical therapy is not effective, different surgical options are available including stereotactic radiosurgery, microvascular decompression or nerve section. It is reported a case of a 26-year-old female with glossopharyngeal neuralgia and Chiari malformation. This rare type of neuralgia sometimes is associated with an abnormality of the cranio-cervical junction. It was performed a posterior fossa expansion with duraplasty and microvascular decompression. The patient showed a complete disappearance of the pain, with no need of tonsil resection.

Keywords: Chiari malformation; Cranio-cervical junction; Disfagia; Dysphagia; Glossopharyngeal neuralgia; Malformación de Chiari; Neuralgia glosofaríngea; Unión cráneo-cervical.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Arnold-Chiari Malformation* / complications
  • Arnold-Chiari Malformation* / diagnostic imaging
  • Arnold-Chiari Malformation* / surgery
  • Female
  • Glossopharyngeal Nerve Diseases* / complications
  • Glossopharyngeal Nerve Diseases* / surgery
  • Humans
  • Microvascular Decompression Surgery*
  • Pain / complications
  • Pain / surgery
  • Radiosurgery*