Vagoglossopharyngeal neuralgia revealed through predominant digestive vagal manifestations. Case report and literature review.
Neurochirurgie
; 62(3): 174-7, 2016 Jun.
Article
en En
| MEDLINE
| ID: mdl-27179388
ABSTRACT
Vagoglossopharyngeal neuralgia is a rare pathology whose atypical forms, dominated by syncopal manifestations, are still rarer. Although the territory of the vagus nerve involves, beyond the cardiovascular system, the respiratory and the digestive systems, there is no report in literature of atypical forms other than syncopal. Therefore, the authors were prompted to report the case of a patient whose vagoglossopharyngeal neuralgia was predominantly revealed by digestive symptoms. A 58-year-old patient presented with stereotypical severe digestive disturbances including nausea, vomiting and diarrhoea. High definition cranial MRI showed a neurovascular conflict between the posterior inferior cerebellar artery and the IXth and Xth nerves, on the right side. A microsurgical decompression was carried out which confirmed the vascular compression and successful transposition of the artery. One year after the surgery, the patient was free from all painful and digestive symptoms. A survey of the literature did not find any reference to digestive symptoms together with the neuralgia; only a syncopal type of cardiac symptoms related to the parasympathetic nervous system were described. The hypothesis was that the revealing digestive symptoms are linked to a similar parasympathetic mechanism, implying the visceral component of the Xth cranial nerve.
Palabras clave
Atypical vagoglossopharyngeal neuralgia; Compression neurovasculaire; Digestive clinical presentation; Décompression vasculaire microchirurgicale; Hyperstimulation vagale; Manifestations digestives; Microvascular decompression; Neurovascular compression; Névralgie vagoglossopharyngienne atypique; Vagal stimulation
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Vómitos
/
Enfermedades del Nervio Glosofaríngeo
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Enfermedades del Nervio Vago
/
Diarrea
/
Cirugía para Descompresión Microvascular
/
Náusea
/
Síndromes de Compresión Nerviosa
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Neurochirurgie
Año:
2016
Tipo del documento:
Article