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患者,男,59岁。于1991年开始出现右侧咽部电击样疼痛,初偶尔发作。以后发作渐频。服用卡马西平后能缓解。1993年8月疼痛加重。每10min左右发作一次,持续约2min。疼痛部位固定在右舌根部、有耳孔、耳根部。饮水,咽食可诱发。长吸气、屏气,或压迫右侧舌咽根部能缓解。以利多卡因在右舌咽神经孔处封闭能缓解3～5h。 舌咽神经痛非常少见。原发性舌咽神经痛病因尚不十分清楚。继发性舌咽神经痛可能因椎动脉或小脑下动脉压迫舌咽及迷走神经所致。解除压迫后症状可
Patient, male, 59 years old. In 1991 began to appear on the right side of the throat electric shock-like pain, the initial occasional attack. After the onset of frequency. After taking carbamazepine can ease. August 1993 increased pain. Attacks occur every 10 minutes or so for about 2 minutes. Pain is fixed in the right tongue root, ear, ear root. Drinking water, swallow food can be induced. Long breathing, breath holding, or oppression of the right glossopharyngeal root can ease. Lidocaine in the right glossopharyngeal nerve hole closed at ease can be 3 ~ 5h. Glossopharyngeal neuralgia is very rare. The cause of primary glossopharyngeal neuralgia is not yet clear. Secondary glossopharyngeal neuralgia may be due to vertebral artery or inferior cerebellar artery pressure glossopharyngeal and vagus nerve caused. After the lifting of the symptoms of oppression can be