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October 1928

GLOSSOPHARYNGEAL NEURALGIA: SURGICAL TREATMENT, WITH REMARKS ON THE DISTRIBUTION OF THE GLOSSOPHARYNGEAL NERVE

Author Affiliations

NEW YORK

From the Department of Neurological Surgery, Neurological Institute.

Arch NeurPsych. 1928;20(4):702-719. doi:10.1001/archneurpsyc.1928.02210160041002
Abstract

Historical Review

Symptoms of Glossopharyngeal Neuralgia

Treatment of Glossopharyngeal Neuralgia

Alcohol injection contraindicated

Peripheral operations

Section of dorsal root—operation of choice

Exposure and Identification of the Nerve

Distribution and Function of the Nerve

Embryologic development

Nuclei of origin and termination

Motor and Sensory Effects of Section of the Nerve

Summary

True glossopharyngeal neuralgia is apparently an extremely rare disease. Weisenburg1 was the first to describe in detail the irritative symptoms of the glossopharyngeal nerve. In a patient having a tumor of the cerebellopontile angle, the ninth nerve and part of the tenth nerve were found stretched over the growth which compressed the fifth nerve. The symptoms referable to the compression of the fifth nerve were relieved by partial removal of the gasserian ganglion and by section of the dorsal root of the trigeminal nerve. Pain, however, persisted and was recognized by Weisenburg as being in the domain of the

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