17 Sept 2011

Understanding Diseases/Glossopharyngeal Neuralgia

Glossopharyngeal neuralgia is thought to be caused by itchiness of the 9th cranial nerve. Symptoms commonly begin in people above forty years of age. In most cases, the actual reason for the discomfort isn't discovered. Certain factors could be tumors or contamination within the throat and mouth area, compression of the glossopharyngeal nerve by nearby arteries, and various lesions in the base of the skull.
causes
  • Blood vessels pressing on the glossopharyngeal nerve
  • Abnormal growths at the base of the skull pressing on the glossopharyngeal nerve.
  • Tumors or infections of the throat and mouth pressing on the glossopharyngeal nerve.
Symptoms
Symptoms incorporate extreme pain in regions associated to the ninth cranial nerve:
Backside of the nose and throat (nasopharynx) , Back of the tongue , Ear,  Throat,  Tonsil area, Voice box (larynx)
Often the pain appears in episodes and may be intense. It is generally on one particular part, and seems jabbing. The episodes can take place a lot of occasions every day, and wake up the particular person from sleep.
This can occasionally be initiated by:
Eating ,  Coughing , Having a laugh , Talking , Swallowing
Examinations and Tests
Tests will certainly be carried out to identify problems, such as tumors, at the base of the skull. Tests could include:
  • Blood checks (sugar level) to look for the reasons of neural injury
  • CT scan of the brain
  • MRI of the head
  • X-rays of the brain or neck
  • At times the MRI may show inflammation (swelling) of the glossopharyngeal nerve.
To find out whether a blood vessel is pushing on the nerve, photographs of the brain arteries may be taken using:
  • Magnetic resonance angiography (MRA)
  • X-rays of the arteries with a dye (conventional angiography)
The goal of remedy is to handle pain. Over-the-counter painkillers such as aspirin and acetaminophen (Tylenol) are not pretty effective for minimizing glossopharyngeal neuralgia.
Cure
The most efficient drugs are antiseizure medications, like as carbamazepine, gabapentin, and phenytoin. Some anti-depressants, such as amitriptyline or nortriptyline, may help out certain people.

In critical scenarios, when pain is difficult to handle, surgical treatment to take pressure off the glossopharyngeal nerve may be necessary. Or, the nerve can be cut (rhizotomy). Both surgeries are normally considered successful. If a cause of the neuralgia is found, therapy should handle the underlying problem.
People with Glossopharyngeal Neuralgia Disease should not loose their heart rather they should join Glossopharyngeal Neuralgia support group where he/she can learn many things from different discussions.

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