Journal Article

Concurrent Glossopharyngeal Neuralgia and Hemi-Laryngopharyngeal Spasm

Honey, Christopher R., Morrison, Murray D., Honey, C. Michael, Rheaume, Alan R., Kruger, Marie T., Avecillas-Chasin, Josue M.

2020

Overview

CLINICAL PRESENTATION: A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS.

• Publisher: Oxford University Press
• Subject: Neuralgia