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Glossopharyngeal neuralgia

Manifestations

Glossopharyngeal neuralgia is characterized by pain similar to that of trigeminal neuralgia but originating in the posterolateral pharynx and ipsilateral ear in the distribution of the glossopharyngeal nerve.

It can be associated sometimes with brief cardiac slowing or arrest during attack.

Treatment

Carbamazepine is the drug of choice. If this fails surgical sectioning of the glossopharyngeal nerve roots in the post fossa may be indicated.

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