Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 90
Filtrar
1.
Intern Med ; 58(7): 933-936, 2019 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-30568145

RESUMO

We herein report a case of glossopharyngeal neuralgia with repeated syncope caused by the recurrence of esophageal carcinoma. The typical symptoms of glossopharyngeal neuralgia are paroxysmal, stabbing, electric shock-like pain in the pharynx and/or base of the tongue on swallowing and talking. In addition, syncope can also be caused by glossopharyngeal neuralgia. The diagnosis of glossopharyngeal neuralgia is not always easy because of its rarity. In the present case, we suspected that repeated syncope was caused by glossopharyngeal neuralgia due to the recurrence of esophageal carcinoma. Concurrent chemoradiation therapy was effective in reducing the tumor size, which resulted in the complete resolution of the symptoms.


Assuntos
Neoplasias Esofágicas/patologia , Carcinoma de Células Escamosas do Esôfago/secundário , Doenças do Nervo Glossofaríngeo/etiologia , Síncope/etiologia , Quimiorradioterapia/métodos , Neoplasias Esofágicas/complicações , Neoplasias Esofágicas/terapia , Carcinoma de Células Escamosas do Esôfago/complicações , Carcinoma de Células Escamosas do Esôfago/patologia , Carcinoma de Células Escamosas do Esôfago/terapia , Nervo Glossofaríngeo/patologia , Humanos , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Invasividade Neoplásica
2.
Br J Neurosurg ; 33(2): 217-218, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-28421823

RESUMO

Tapia syndrome, a rare complication of posterior cervical surgery, characterised by concurrent paralyses of recurrent laryngeal branch of vagus and hypoglossal cranial nerves, occurred in a patient after posterior cervical foraminotomies for radiculopathy. We discuss hypothesised pathophysiology, and diagnostic, therapeutic and avoidance strategies in relevance to prone neurosurgical procedures.


Assuntos
Foraminotomia/efeitos adversos , Doenças do Nervo Glossofaríngeo/etiologia , Doenças do Nervo Hipoglosso/etiologia , Doenças da Língua/etiologia , Paralisia das Pregas Vocais/etiologia , Adulto , Vértebras Cervicais/cirurgia , Feminino , Humanos , Complicações Pós-Operatórias/etiologia , Radiculopatia/etiologia , Radiculopatia/cirurgia , Síndrome
4.
Dent Clin North Am ; 62(4): 665-682, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30189989

RESUMO

This review examines gender prevalence in orofacial pain to elucidate underlying factors that can explain such differences. This review highlights how gender affects (1) the association of hormonal factors and pain modulation; (2) the genetic aspects influencing pain sensitivity and pain perception; (3) the role of resting blood pressure and pain threshold; and (4) the impact of sociocultural, environmental, and psychological factors on pain.


Assuntos
Dor Facial/epidemiologia , Dor Facial/etiologia , Dor Facial/genética , Feminino , Identidade de Gênero , Doenças do Nervo Glossofaríngeo/epidemiologia , Doenças do Nervo Glossofaríngeo/etiologia , Cefaleia/epidemiologia , Cefaleia/etiologia , Humanos , Masculino , Prevalência , Psicologia , Fatores de Risco , Fatores Sexuais , Transtornos da Articulação Temporomandibular/epidemiologia , Transtornos da Articulação Temporomandibular/etiologia , Cefalalgias Autonômicas do Trigêmeo/epidemiologia , Cefalalgias Autonômicas do Trigêmeo/etiologia , Neuralgia do Trigêmeo/epidemiologia , Neuralgia do Trigêmeo/etiologia
5.
Pain Physician ; 21(3): 295-302, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29871374

RESUMO

BACKGROUND: The management of glossopharyngeal neuralgia due to oropharyngeal carcinoma is particularly difficult because of rich innervations of the area, erosive nature of neoplasm and dynamic pain evoked by the functional movements like swallowing and chewing. Few case reports have shown the efficacy of pulsed radiofrequency (PRF) treatment in primary and secondary glossopharyngeal neuralgia in non-cancer patients. However, the efficacy of PRF ablation of the glossopharyngeal nerve in oral cancer patients is not known. OBJECTIVES: This study was conducted to evaluate the efficacy and safety of PRF ablation of the glossopharyngeal nerve for the management of oropharyngeal cancer pain involving the base of the tongue, tonsillar fossa, and oropharynx. STUDY DESIGN: Prospective interventional clinical trial. SETTING: Tertiary care hospital and medical education and research institute. METHODS: A total of 25 adult patients suffering from oropharyngeal carcinoma, complaining of severe pain in the area mainly supplied by glossopharyngeal nerve, were included. The patients underwent fluoroscopy-guided PRF ablation of the glossopharyngeal nerve of the affected site 3 times at 42°C temperature for 120 seconds with 22-gauge, 10 cm long, 5 mm active tip radiofrequency needle. They were followed up for one year for pain relief, nausea-vomiting and sleep disturbances. The treatment was considered effective if there was 50% reduction in pain score at 2 weeks. RESULTS: There was significant reduction in the overall pain score including site specific pain, odynophagia and ear pain after radiofrequency ablation (P < 0.0001) in all the patients. This was associated with decreased opioid consumption (P < 0.001), lesser nausea/vomiting, and improved sleep. The treatment was effective in 23 out of 25 patients (92%) for more than 3 months. No major complication was observed in any patient. The average duration of effective pain relief was 5 to 9 months. LIMITATIONS: Patients having bilateral glossopharyngeal neuralgia or an advanced stage of oral cancer with large lymph nodes at the angle of mandible were not included. This study was a single-center observational clinical trial and further multi-center, randomized, controlled trails are needed to obtain higher level of evidence. CONCLUSION: Our results showed that PRF ablation can be used effectively and safely for the treatment of glossopharyngeal neuralgia secondary to oropharyngeal carcinoma. KEY WORDS: Glossopharyngeal neuralgia, ear pain, odynophagia, oral cancer pain, pulsed radiofrequency ablation, side effects.


Assuntos
Dor do Câncer/cirurgia , Doenças do Nervo Glossofaríngeo/cirurgia , Neoplasias Orofaríngeas/complicações , Manejo da Dor/métodos , Ablação por Radiofrequência/métodos , Adulto , Idoso , Feminino , Doenças do Nervo Glossofaríngeo/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Tratamento por Radiofrequência Pulsada/métodos
6.
Rinsho Shinkeigaku ; 57(9): 492-498, 2017 09 30.
Artigo em Japonês | MEDLINE | ID: mdl-28804114

RESUMO

We treated 11 cases (52.7 ± 14.9 years, all male) with varicella zoster virus (VZV) meningitis and 437 cases with adult aseptic meningitis from 2004 to 2016. The incidence rate of adult VZV meningitis in the cases with aseptic meningitis was 2.5%. Herpes zoster infections are reported to have occurred frequently in summer and autumn. VZV meningitis also occurred frequently in the similar seasons, in our patients. The diagnoses were confirmed in 9 cases with positive VZV-DNA in the cerebrospinal fluid and in 2 cases with high VZV-IgG indexes (> 2.0). For diagnosis confirmation, the former test was useful for cases within a week of disease onset, and the latter index was useful for cases after a week of disease onset. Zoster preceded the meningitis in 8 cases, while the meningitis preceded zoster in 1 case, and 2 cases did not have zoster (zoster sine herpete). Two patients were carriers of the hepatitis B virus, 1 patient was administered an influenza vaccine 4 days before the onset of meningitis, and 1 patient was orally administered prednisolone for 2 years, for treatment. Their immunological activities might have been suppressed. The neurological complications included trigeminal neuralgia, facial palsy (Ramsay Hunt syndrome), glossopharyngeal neuralgia, and Elsberg syndrome. Because the diseases in some patients can become severe, they require careful treatment.


Assuntos
Herpes Zoster , Herpesvirus Humano 3 , Meningite Viral , Adulto , Idoso , Idoso de 80 Anos ou mais , Biomarcadores/sangue , Fenda Labial/etiologia , Fissura Palatina/etiologia , DNA Viral/sangue , Ectrópio/etiologia , Paralisia Facial/etiologia , Doenças do Nervo Glossofaríngeo/etiologia , Herpes Zoster/complicações , Herpes Zoster/diagnóstico , Herpes Zoster/epidemiologia , Herpes Zoster/virologia , Herpesvirus Humano 3/genética , Herpesvirus Humano 3/imunologia , Humanos , Imunoglobulina G/sangue , Japão/epidemiologia , Masculino , Meningite Viral/complicações , Meningite Viral/diagnóstico , Meningite Viral/epidemiologia , Meningite Viral/virologia , Pessoa de Meia-Idade , Estações do Ano , Índice de Gravidade de Doença , Anormalidades Dentárias/etiologia , Neuralgia do Trigêmeo/etiologia
8.
Crit Care Med ; 45(8): e865-e866, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28422776

RESUMO

OBJECTIVE: To communicate a complication of prone-position ventilation. DATA SOURCES: Case history. STUDY SELECTION: Case report. DATA EXTRACTION AND DATA SYNTHESIS: Clinical information from medical record. CONCLUSIONS: This is a very infrequent cause of dysphagia following prone-position ventilation.


Assuntos
Doenças dos Nervos Cranianos/etiologia , Paralisia/etiologia , Decúbito Ventral , Respiração Artificial/efeitos adversos , Respiração Artificial/métodos , Síndrome do Desconforto Respiratório do Adulto/terapia , Doenças do Nervo Glossofaríngeo/etiologia , Humanos , Masculino , Pessoa de Meia-Idade
9.
J Neuroophthalmol ; 37(2): 179-181, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28350571

RESUMO

Vertebrobasilar dolichoectasia (VBD) is characterized by significant dilation, elongation, and tortuosity of the vertebrobasilar system. We present a unique case of VBD, confirmed by neuroimaging studies, showing vascular compression of the right optic tract and lower cranial nerves leading to an incongruous left homonymous inferior quadrantanopia and glossopharyngeal neuralgia.


Assuntos
Doenças do Nervo Glossofaríngeo/etiologia , Hemianopsia/etiologia , Trato Óptico/diagnóstico por imagem , Insuficiência Vertebrobasilar/complicações , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Doenças do Nervo Glossofaríngeo/diagnóstico , Hemianopsia/diagnóstico , Humanos , Angiografia por Ressonância Magnética , Masculino , Oftalmoscopia , Síndrome , Insuficiência Vertebrobasilar/diagnóstico
10.
Spine J ; 16(9): e635-9, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27157500

RESUMO

BACKGROUND CONTEXT: Collet-Sicard syndrome describes the paralysis of cranial nerves IX-XII and is the most frequently reported neurologic complication associated with Jefferson fractures. As the lateral mass of the atlas is displaced laterally toward the styloid process and the stylohyoid ligament, the lateral mass impinges on cranial nerves IX-XII. However, Collet-Sicard syndrome in association with other anomalies of the atlas has rarely been reported. PURPOSE: The aim of this study was to report an unusual case of Collet-Sicard syndrome as a result of developmental abnormalities of the craniocervical junction. STUDY DESIGN/SETTING: This is a case report of a single patient. METHODS: Chart and radiographic data were reviewed and reported. RESULTS: We report a 70-year-old man who developed hoarseness, dysarthria, and dysphagia from developmental abnormalities of the craniocervical junction including a congenital occiput-C1-C3 fusion and hypoplastic dens. On computed tomography, the distance between the left transverse process of the atlas and the left styloid process of the skull was 3 mm. CONCLUSION: In suspected Collet-Sicard syndrome, developmental abnormalities of the craniocervical junction should be considered in the differential diagnosis.


Assuntos
Atlas Cervical/anormalidades , Anormalidades Craniofaciais/diagnóstico por imagem , Doenças do Nervo Glossofaríngeo/diagnóstico por imagem , Doenças do Nervo Hipoglosso/diagnóstico por imagem , Idoso , Anormalidades Craniofaciais/complicações , Doenças do Nervo Glossofaríngeo/etiologia , Humanos , Doenças do Nervo Hipoglosso/etiologia , Masculino , Síndrome , Tomografia Computadorizada por Raios X
12.
Schmerz ; 30(1): 99-117, 2016 Feb.
Artigo em Alemão | MEDLINE | ID: mdl-26815785

RESUMO

Neuropathic pain is the result of a lesion or disease of the somatosensory system in the peripheral or central nervous system. Classical trigeminal neuralgia and posttraumatic trigeminal neuropathy are pain disorders which oral and maxillofacial surgeons and dentists are confronted with in the differential diagnostics in routine daily practice. The etiopathogenesis of classical trigeminal neuralgia is attributable to pathological blood vessel-nerve contact in the trigeminal nerve root entry zone to the brain stem. The typical pain symptoms are characterized by sudden stabbing pain attacks. The pharmaceutical prophylaxis is based on the individually titrated administration of anticonvulsant drugs. The indications for interventional treatment are dependent on the course, response to drug treatment, resilience and wishes of the patient. The neuropathic mechanism of posttraumatic trigeminal neuropathy originates from nerve damage, which leads to peripheral and central sensitization with lowering of the pain threshold and multiple somatosensory disorders. The prophylaxis consists of avoidance of excessive acute and long-lasting pain stimuli. Against the background of the biopsychosocial pain model, the treatment of posttraumatic trigeminal neuropathy necessitates a multimodal, interdisciplinary concept.


Assuntos
Dor Facial/diagnóstico , Traumatismos do Nervo Trigêmeo/diagnóstico , Neuralgia do Trigêmeo/diagnóstico , Idoso , Anticonvulsivantes/uso terapêutico , Terapia Combinada , Estudos Transversais , Diagnóstico Diferencial , Dor Facial/classificação , Dor Facial/etiologia , Dor Facial/terapia , Feminino , Doenças do Nervo Glossofaríngeo/classificação , Doenças do Nervo Glossofaríngeo/diagnóstico , Doenças do Nervo Glossofaríngeo/etiologia , Doenças do Nervo Glossofaríngeo/terapia , Humanos , Comunicação Interdisciplinar , Colaboração Intersetorial , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Traumatismos do Nervo Trigêmeo/classificação , Traumatismos do Nervo Trigêmeo/etiologia , Traumatismos do Nervo Trigêmeo/terapia , Neuralgia do Trigêmeo/classificação , Neuralgia do Trigêmeo/etiologia , Neuralgia do Trigêmeo/terapia
13.
J Neurointerv Surg ; 8(1): 87-93, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-25428450

RESUMO

BACKGROUND AND PURPOSE: To investigate the efficacy of endovascular treatment (EVT) for neurovascular conflicts (NVCs) in the cerebellopontine angle (CPA) caused by intracranial aneurysms (IAs) and intracranial arteriovenous malformations (AVMs), including trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. MATERIALS AND METHODS: From January 2010 to January 2014, 14 consecutive patients presenting with three NVCs caused by IAs or intracranial AVMs were admitted to our department. The clinical outcomes of these NVCs after EVT were retrospectively analyzed. RESULTS: For four patients with IAs, angiographic follow-up confirmed total occlusion of the lesion in all, and the clinical outcomes of NVC were as follows: gradual relief in two (50%), transient partial relief but recurrence in one (25%), and no palliative effect in one (25%). For the 10 patients with intracranial AVMs, one (10%) experienced transient relief of NVC after angiogram examination (no EVT was performed). Of the other nine patients who received EVT, angiographic follow-up was obtained in seven (70%), demonstrating total obliteration of the lesion in three (30%), subtotal obliteration in two (20%), and partial obliteration in two (20%). Clinical outcomes included immediate relief of NVCs after single EVT in two cases (20%), gradual relief after single EVT in five (50%, one of them experienced transient aggravation), and complete relief after two sessions of EVT in two (20%). Complications of transient cranial nerve paresis related to EVT occurred in two cases (20%) with intracranial AVMs. In all, complete lasting relief of the NVCs was obtained finally in 11 cases (78.6%). CONCLUSIONS: EVT is a feasible and less invasive approach for relief of NVCs in the CPA caused by IA or intracranial AVM and could be considered as a therapeutic option in these situations.


Assuntos
Fístula Arteriovenosa/terapia , Ângulo Cerebelopontino/patologia , Procedimentos Endovasculares/métodos , Doenças do Nervo Glossofaríngeo/terapia , Espasmo Hemifacial/terapia , Aneurisma Intracraniano/terapia , Malformações Arteriovenosas Intracranianas/terapia , Neuralgia do Trigêmeo/terapia , Adulto , Idoso , Fístula Arteriovenosa/complicações , Feminino , Seguimentos , Doenças do Nervo Glossofaríngeo/etiologia , Espasmo Hemifacial/etiologia , Humanos , Aneurisma Intracraniano/complicações , Malformações Arteriovenosas Intracranianas/complicações , Masculino , Pessoa de Meia-Idade , Indução de Remissão , Resultado do Tratamento , Neuralgia do Trigêmeo/etiologia , Adulto Jovem
14.
Neurosurgery ; 11 Suppl 3: 382-6, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26103445

RESUMO

BACKGROUND: A surgical procedure for glossopharyngeal neuralgia (GPN) was selected from microvascular decompression, glossopharyngeal and upper vagal rhizotomy, or a combination of these procedures based on the presence of arteries compressing the glossopharyngeal and vagal rootlets. The offending artery is usually a main trunk or branch of the cerebellar arteries. A perforating artery is a known but uncommon variation of the offending artery that causes GPN. The appropriate procedure for such cases is unknown. OBJECTIVE: To analyze the clinical significance of the perforating artery in GPN, we describe 2 patients with a perforating artery compressing the rootlet, and its mobilization relieved neuralgia. We examined the validity of decompressing a perforating artery as an alternative to rhizotomy in such cases. METHODS: We independently reviewed 12 GPN patients treated with microvascular decompression. The patients' pain severity, medication doses, preoperative imaging studies, intraoperative findings, and outcomes were examined. RESULTS: Eleven patients had neurovascular compression of the glossopharyngeal nerve. In 2 of the patients, a perforating artery compressed the rootlet, thereby generating an indentation and creating a discoloration of the rootlet. Mobilizing the perforating artery with no additional rhizotomy provided complete pain relief with no significant complications and allowed the discontinuation of medications. CONCLUSION: Even a small perforating artery can cause GPN when it compresses the rootlet. In such cases, mobilization of the perforating artery with no additional rhizotomy is an effective surgical option.


Assuntos
Artérias Cerebrais/patologia , Artérias Cerebrais/cirurgia , Doenças do Nervo Glossofaríngeo/etiologia , Doenças do Nervo Glossofaríngeo/cirurgia , Cirurgia de Descompressão Microvascular/métodos , Procedimentos Neurocirúrgicos/métodos , Radiculopatia/complicações , Radiculopatia/cirurgia , Idoso , Idoso de 80 Anos ou mais , Feminino , Doenças do Nervo Glossofaríngeo/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Medição da Dor , Faringe/inervação , Faringe/patologia , Estudos Retrospectivos , Rizotomia , Resultado do Tratamento
16.
J Neurosurg Spine ; 21(4): 565-7, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25014503

RESUMO

Jugular foramen syndrome is a condition characterized by unilateral paresis of cranial nerves IX, X, and XI in the setting of extrinsic compression. Here, the authors describe the case of a giant cervical osteophyte resulting in compression of the jugular foramen. A 74-year-old man who presented with progressive dysphagia and dysarthria was found to have right-sided tongue deviation, left palatal droop, and hypophonia. His dysphagia had progressed to the point that he had lost 25 kg over a 4-month period, necessitating a gastrostomy to maintain adequate nutrition. He underwent extensive workup for his dysphagia with several normal radiographic studies. Ultimately, CT scanning and postcontrast MRI revealed a posterior osteophyte arising from the C1-2 joint space and projecting into the right jugular foramen. This resulted in a jugular foramen syndrome in addition to delayed filling of the patient's right internal jugular vein distal to the osteophyte. Although rare, a posterior cervical osteophyte should be considered in cases of jugular foramen syndrome.


Assuntos
Vértebras Cervicais , Doenças dos Nervos Cranianos/etiologia , Veias Jugulares , Osteofitose Vertebral/complicações , Doenças do Nervo Acessório/etiologia , Idoso , Doenças dos Nervos Cranianos/diagnóstico , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Diagnóstico Diferencial , Diagnóstico por Imagem , Doenças do Nervo Glossofaríngeo/etiologia , Humanos , Masculino , Osteofitose Vertebral/diagnóstico , Síndrome , Doenças do Nervo Vago/etiologia
19.
J Pediatr Orthop ; 33(3): e23-7, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23482276

RESUMO

BACKGROUND: Jefferson (C1) fractures are rare cervical spine injuries that usually do not result in cranial nerve (CN) impairment. However, case reports of Collet-Sicard syndrome (impairment of CNs IX-XII) and impairment of CNs IX, X, and XII have been reported. All reported cases involved adult patients in high-impact collisions, such as motor vehicle accidents or falls. To our knowledge, a Jefferson fracture with selective CN impairment due to a low-energy, sports-related injury in a pediatric patient has not been reported. METHODS: Chart and radiographic data for a single case were reviewed and reported in a retrospective study approved by the Institutional Review Board of the participating hospital. RESULTS: A 16-year-old male was diagnosed with a Jefferson fracture after a head-to-chest football collision. On computed tomography, the distance between the atlas transverse process and styloid process of the skull was 5 mm right and 10 mm left. Before halo fixation, the patient had vague complaints of dysphagia. These complaints worsened which led to the diagnosis of CN IX and X impairment and placement of a feeding tube. The fracture healed uneventfully, the dysphagia symptoms resolved, and the halo fixation and feeding tube were removed. The patient returned to all activities, but was instructed to avoid participation in contact sports. CONCLUSIONS: This was the first report of selective CN impairment in a pediatric patient with a Jefferson fracture resulting from a low-impact sports-related injury. Careful monitoring of the patient complaints led to appropriate treatment. Further studies into the spatial relationship between the transverse process of the atlas in relation to the styloid process of the skull may be warranted. LEVEL OF EVIDENCE: Level V, case report.


Assuntos
Traumatismos em Atletas/complicações , Vértebras Cervicais/lesões , Doenças do Nervo Glossofaríngeo/etiologia , Fraturas da Coluna Vertebral/complicações , Doenças do Nervo Vago/etiologia , Adolescente , Humanos , Masculino
20.
J Neurol Surg A Cent Eur Neurosurg ; 74(1): 54-8, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23104590

RESUMO

Lower cranial nerve schwannomas are benign tumors of the neurolemmocytes of the cranial nerves. Among children, cranial nerve schwannomas are extremely rare and are predominantly associated with neurofibromatosis (NF) type 2. The purpose of the current case report is to describe a unique giant extra- and intracranial foramen jugular schwannoma in a young boy with lower cranial nerve deficits and glossopharyngeal neuralgia syncope syndrome and to review the pertinent literature. In the current case report, we illustrate the course of disease in a 14-year-old boy with a 4-month history of recurrent syncope and a big bulge on the left side of his neck. Audiometry showed deafness of the left ear. Magnetic resonance imaging (MRI) demonstrated a giant unilateral dumbbell-shaped intra- and extracranial foramen jugular schwannoma with a volume of 156 cm3 causing severe brain stem compression and obstructive hydrocephalus. The tumor was removed completely in a two-step surgery. The tumor was confirmed during surgery to originate from the glossopharyngeal nerve. The histological examination revealed the characteristic features of a schwannoma. The MRI 3 months after the second surgery confirmed complete tumor removal. The genetic examination for NF was negative. Review of literature showed that dumbbell-shaped lower cranial nerve schwannomas in the childhood population are rare.


Assuntos
Neoplasias dos Nervos Cranianos/cirurgia , Doenças do Nervo Glossofaríngeo/cirurgia , Nervo Glossofaríngeo/cirurgia , Neurilemoma/cirurgia , Síncope/cirurgia , Adolescente , Neoplasias dos Nervos Cranianos/complicações , Neoplasias dos Nervos Cranianos/patologia , Nervo Glossofaríngeo/patologia , Doenças do Nervo Glossofaríngeo/complicações , Doenças do Nervo Glossofaríngeo/etiologia , Doenças do Nervo Glossofaríngeo/patologia , Humanos , Masculino , Neurilemoma/complicações , Neurilemoma/patologia , Síncope/etiologia , Síncope/patologia , Resultado do Tratamento
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA