舌咽神経痛の1症例 (内藤儁教授退官記念論文集)

概要

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A 48-year-old man with glossopharyngeal neuralgia admitted to Osaka University Hospital was first treated with Tegretol (carbamazepine) and nerve blockage for 28 days. He obtained only a slight relief and soon began to suffer increased pain from this day on. He was therefore subjected to peronal neurectomy and withheld from Tegretol. The pain was refractory to pen-oral neurectomy, and became much more intensive than before, but completely abated when Tegretol was began after 4 days, withdrawal.The slight degeneration of the axon of the glossopharyngeal nerve, which was confirmed histopathologically, and the thrapeutic effect of Tegretol have suggested that the onset of his neuralgia is due to disturbed central nervous functions as well as to the wellestablished peripheral nerve impairment.
耳鼻咽喉科臨床学会の論文