Table 3.
Diseases | Clinical features | Pharmacological treatments | Surgical /local treatments | Limitation |
---|---|---|---|---|
Glossopharyngeal neuralgia | Pain, dull type Pain duration, short duration Intensity, mild to moderate Localization, diffuse Characteristics, usually pain in the throat/ mouth floor Trigger point, swallowing |
Carbamazepine | GN nerve block | (i) Chance of trauma to the internal jugular vein and carotid artery (ii) Hematoma formation |
Gabapentin pregabalin |
Myotherapy Percutaneous radiofrequency thermal rhizotomy |
(i) Regular monitoring is not possible (ii) Recurrence (iii) Hoarseness of voice (iv) Vocal cord paralysis, and dysphagia (difficulty in swallowing) |
||
Injections | (i) As it is a painful procedure, the patient feels uncomfortable during injection | |||
Direct section of the nerve in the cerebellopontine angle | (i) High morbidity with neurologic and life threatening condition (ii) Thromboembolic complication (iii) Meningitis (iv) Cerebrospinal fluid leak, (v) Cutaneous flap distension (vi) Facial nerve dysfunction (vii) Ocular dysfunction (viii) Tinnitus |
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Sedatives (on condition) |
Microvascular decompression | (i) Low recurrence of pain (ii) Chance of nerve damage result (iii) Hoarseness (iv) Difficulty swallowing (dysphagia) (v) Unsteady gait |