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舌咽神经痛是一种少见病。作者所在医院1989～1995年共收治6例,女4例,男2例,年龄31～60岁,病程1～5年。临床表现为扁桃体、咽部、舌、耳单侧发作性刺戳样剧痛,因吞咽、说话和咳嗽等诱发,持续数秒至数分钟。以10％可卡因喷涂触发点可暂时止痛。均行头颅X线照片、CT检查及耳鼻喉科会诊以排除颅内外病因,2例做头颅MRI和脑血管造影未发现异常。由于极度进食困难,2例体重平均下降7kg。2例伴心动过缓(35～45次/分),其中1例合并低血压(6/0 Kpa)和晕厥。 本组4例,疼痛发作2～3次/d,有数天至数周的间歇期,用卡马西平600～1200mg/d治疗,2例疼痛完全消失,2例疼痛部分减轻,其中1例必须加用地芬尼
Glossopharyngeal neuralgia is a rare disease. The author’s hospital from 1989 to 1995 were treated 6 cases, 4 females, 2 males, aged 31 to 60 years of age, duration of 1 to 5 years. Clinical manifestations of tonsils, pharynx, tongue, unilateral ear painful jab like, due to swallowing, talking and cough induced, lasting a few seconds to several minutes. Spraying the trigger point with 10% cocaine temporarily relieves pain. Both skull radiography, CT examination and otolaryngology consultation to rule out the cause of intracranial and extracranial, two cases of cranial MRI and cerebrovascular angiography found no abnormalities. Due to extreme eating difficulties, two patients lost an average of 7 kg of body weight. 2 cases with bradycardia (35 ~ 45 beats / min), including 1 case of hypotension (6/0 Kpa) and syncope. The group of 4 patients, 2 to 3 times the pain attack / d, a few days to several weeks of intermittent period, with carbamazepine 600 ~ 1200mg / d treatment, 2 patients completely disappeared pain, pain relief in 2 cases, of which 1 case must Add to Feni Ni