Usefulness of Balloon Test Occlusion in the Diagnosis of Glossopharyngeal Neuralgia
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概要
- 論文の詳細を見る
A 67-year-old man presented with glossopharyngeal neuralgia (GPN) manifesting as severe paroxysmal pharyngeal and retroauricular pain not controlled by medical treatment. Constructive interference in steady state magnetic resonance imaging suggested that the responsible vessel was the right vertebral artery (VA). As carbamazepine had some limited effect, we reviewed the appropriateness of microvascular decompression surgery. Balloon test occlusion of the VA was performed to confirm that the GPN was due to right VA pulsation. The neuralgia disappeared and reappeared with balloon inflation and deflation. Therefore, the VA was moved to decompress the glossopharyngeal nerve. The patient was pain-free after surgery. Balloon test occlusion may be useful in the diagnosis of GPN and the selection of the most appropriate surgical treatment.
- 社団法人 日本脳神経外科学会の論文
- 2008-04-15
著者
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Kai Yutaka
Department Of Neurosurgery University Of The Ryukyu Faculty Of Medicine
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Kai Yutaka
Department Of Neurosurgery Kumamoto University Medical School
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KURATSU Jun-ichi
Department of Neurosurgery, Kumamoto University Medical School
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MORIOKA Motohiro
Department of Neurosurgery, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University Grad
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HASEGAWA Shu
Department of Neurosurgery, Kumamoto Red Cross Hospital
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Kuratsu Jun-ichi
Department Of Neurosurgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto University Gradua
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Hasegawa Shu
Department Of Neurosurgery Kumamoto Red Cross Hospital:department Of Neurosurgery Kumamoto Universit
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Kuratsu Jun-ichi
Department Of Neurosurgery Graduate School Of Medical Sciences Kumamoto University
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Kuratsu Jun-ichi
Department Of Neurosurgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto University
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Kuratsu Jun-ichi
Department Of Neurosurgery Kumamoto University School Of Medicine
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Kai Yutaka
Department Of Neurosurgery Kumamoto University School Of Medicine
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Kuratsu Jun-ichi
Department Of Neurosurgery Shimonoseki Kosei Hospital
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Morioka Motohiro
Department Of Neurosurgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto University Gradua
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Kai Yutaka
Department Of Neurosurgery Graduate School Of Medical Sciences Kumamoto University
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Kuratsu Jun-ichi
Department Of Neurosurgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto University Gradua
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Kai Yutaka
Department Of Cerebrovascular Disease And Acute Coronary Syndrome Kumamoto University
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