Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options

# Purpose of Review This is a comprehensive review of the most recent literature on glossopharyngeal neuralgia (GPN), a relatively rare form of neuropathic facial pain. It covers the epidemiology, risk factors, pathophysiology, and differential diagnosis given that glossopharyngeal neuralgia can o...

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Main Authors: Andrew Han, Carver Montgomery, Alexandra Zamora, Emilie Winder, Adam D. Kaye, Caroline Carroll, Alfonso Aquino, Juyeon Kakazu, Alan D. Kaye
Format: Article
Language:English
Published: Open Medical Publishing 2022-06-01
Series:Health Psychology Research
Online Access:https://doi.org/10.52965/001c.36042
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author Andrew Han
Carver Montgomery
Alexandra Zamora
Emilie Winder
Adam D. Kaye
Caroline Carroll
Alfonso Aquino
Juyeon Kakazu
Alan D. Kaye
author_facet Andrew Han
Carver Montgomery
Alexandra Zamora
Emilie Winder
Adam D. Kaye
Caroline Carroll
Alfonso Aquino
Juyeon Kakazu
Alan D. Kaye
author_sort Andrew Han
collection DOAJ
description # Purpose of Review This is a comprehensive review of the most recent literature on glossopharyngeal neuralgia (GPN), a relatively rare form of neuropathic facial pain. It covers the epidemiology, risk factors, pathophysiology, and differential diagnosis given that glossopharyngeal neuralgia can often be confused with other facial pain syndromes. Finally, we extensively review recent findings regarding medical or conservative measures, minimally invasive, and surgical options for potentially treating and managing glossopharyngeal neuralgia. # Recent Findings An in-depth analysis of the recent literature indicates that glossopharyngeal neuralgia is not only rare but its etiology and pathophysiology are complex and are often secondary to other disease processes. Regardless, current management options are shown to be effective in controlling pain. Conservatively, first-line management of GPN is carbamazepine, but gabapentin and eslicarbazepine acetate are suitable alternatives. In terms of current minimally invasive pain management techniques, pulsed radiofrequency ablation, nerve blocks, or percutaneous radiofrequency thermocoagulation are effective. Finally, surgical management involves microvascular decompression and rhizotomy. # Summary While there are currently many viable options for addressing glossopharyngeal neuralgia pain ranging from conservative to surgical management, the complex nature of GPN etiology, pathophysiology, and involved anatomical structures prompts further research for more effective ways to treat the disease.
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issn 2420-8124
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publishDate 2022-06-01
publisher Open Medical Publishing
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series Health Psychology Research
spelling doaj-art-5b8c1af5a79941479e6c4ffd5bfb4f3d2025-02-11T20:30:32ZengOpen Medical PublishingHealth Psychology Research2420-81242022-06-01105Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment OptionsAndrew HanCarver MontgomeryAlexandra ZamoraEmilie WinderAdam D. KayeCaroline CarrollAlfonso AquinoJuyeon KakazuAlan D. Kaye# Purpose of Review This is a comprehensive review of the most recent literature on glossopharyngeal neuralgia (GPN), a relatively rare form of neuropathic facial pain. It covers the epidemiology, risk factors, pathophysiology, and differential diagnosis given that glossopharyngeal neuralgia can often be confused with other facial pain syndromes. Finally, we extensively review recent findings regarding medical or conservative measures, minimally invasive, and surgical options for potentially treating and managing glossopharyngeal neuralgia. # Recent Findings An in-depth analysis of the recent literature indicates that glossopharyngeal neuralgia is not only rare but its etiology and pathophysiology are complex and are often secondary to other disease processes. Regardless, current management options are shown to be effective in controlling pain. Conservatively, first-line management of GPN is carbamazepine, but gabapentin and eslicarbazepine acetate are suitable alternatives. In terms of current minimally invasive pain management techniques, pulsed radiofrequency ablation, nerve blocks, or percutaneous radiofrequency thermocoagulation are effective. Finally, surgical management involves microvascular decompression and rhizotomy. # Summary While there are currently many viable options for addressing glossopharyngeal neuralgia pain ranging from conservative to surgical management, the complex nature of GPN etiology, pathophysiology, and involved anatomical structures prompts further research for more effective ways to treat the disease.https://doi.org/10.52965/001c.36042
spellingShingle Andrew Han
Carver Montgomery
Alexandra Zamora
Emilie Winder
Adam D. Kaye
Caroline Carroll
Alfonso Aquino
Juyeon Kakazu
Alan D. Kaye
Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options
Health Psychology Research
title Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options
title_full Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options
title_fullStr Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options
title_full_unstemmed Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options
title_short Glossopharyngeal Neuralgia: Epidemiology, Risk factors, Pathophysiology, Differential diagnosis, and Treatment Options
title_sort glossopharyngeal neuralgia epidemiology risk factors pathophysiology differential diagnosis and treatment options
url https://doi.org/10.52965/001c.36042
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