Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report

Abstract Background Hyperactive dysfunction syndrome (HDS) refers to a constellation of symptoms developing from cranial nerve overactivity caused by neurovascular compression at the root entry or exit zone near the brainstem. Although the combined features of HDS are seen in the elderly, there are...

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Main Authors: Aiko Maeda, Kenzo Araki, Chiaki Yamada, Shoko Nakayama, Kazuhiro Shirozu, Ken Yamaura
Format: Article
Language:English
Published: SpringerOpen 2021-08-01
Series:JA Clinical Reports
Subjects:
Online Access:https://doi.org/10.1186/s40981-021-00465-5
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author Aiko Maeda
Kenzo Araki
Chiaki Yamada
Shoko Nakayama
Kazuhiro Shirozu
Ken Yamaura
author_facet Aiko Maeda
Kenzo Araki
Chiaki Yamada
Shoko Nakayama
Kazuhiro Shirozu
Ken Yamaura
author_sort Aiko Maeda
collection DOAJ
description Abstract Background Hyperactive dysfunction syndrome (HDS) refers to a constellation of symptoms developing from cranial nerve overactivity caused by neurovascular compression at the root entry or exit zone near the brainstem. Although the combined features of HDS are seen in the elderly, there are no reports of such cases in adolescents, to date. Case presentation A 17-year-old male was diagnosed with right glossopharyngeal neuralgia and treated with microvascular decompression. He experienced new-onset right facial pain later and was diagnosed with right trigeminal neuralgia, which required prompt radiofrequency thermocoagulation of the right mandibular nerve. Follow-up in the third post-treatment year revealed the absence of symptom recurrence. Discussion We report the treatment of a rare case of adolescent-onset combined HDS presenting as trigeminal and glossopharyngeal neuralgia. This report highlights the possibility of combined hyperactive dysfunction syndrome in younger age groups. It is crucial to establish a diagnosis early on for prompt management.
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spelling doaj.art-574d1fb9a2c3439c8ed8496e19a17ebb2022-12-21T20:00:29ZengSpringerOpenJA Clinical Reports2363-90242021-08-01711510.1186/s40981-021-00465-5Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case reportAiko Maeda0Kenzo Araki1Chiaki Yamada2Shoko Nakayama3Kazuhiro Shirozu4Ken Yamaura5Department of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University HospitalOperating Rooms, Kyushu University HospitalDepartment of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of MedicineDepartment of Anesthesiology and Critical Care Medicine, Kyushu University Graduate School of MedicineAbstract Background Hyperactive dysfunction syndrome (HDS) refers to a constellation of symptoms developing from cranial nerve overactivity caused by neurovascular compression at the root entry or exit zone near the brainstem. Although the combined features of HDS are seen in the elderly, there are no reports of such cases in adolescents, to date. Case presentation A 17-year-old male was diagnosed with right glossopharyngeal neuralgia and treated with microvascular decompression. He experienced new-onset right facial pain later and was diagnosed with right trigeminal neuralgia, which required prompt radiofrequency thermocoagulation of the right mandibular nerve. Follow-up in the third post-treatment year revealed the absence of symptom recurrence. Discussion We report the treatment of a rare case of adolescent-onset combined HDS presenting as trigeminal and glossopharyngeal neuralgia. This report highlights the possibility of combined hyperactive dysfunction syndrome in younger age groups. It is crucial to establish a diagnosis early on for prompt management.https://doi.org/10.1186/s40981-021-00465-5AdolescentCombined hyperactive dysfunction syndromeTrigeminal neuralgiaGlossopharyngeal neuralgia
spellingShingle Aiko Maeda
Kenzo Araki
Chiaki Yamada
Shoko Nakayama
Kazuhiro Shirozu
Ken Yamaura
Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
JA Clinical Reports
Adolescent
Combined hyperactive dysfunction syndrome
Trigeminal neuralgia
Glossopharyngeal neuralgia
title Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
title_full Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
title_fullStr Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
title_full_unstemmed Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
title_short Treatment of trigeminal and glossopharyngeal neuralgia in an adolescent: a case report
title_sort treatment of trigeminal and glossopharyngeal neuralgia in an adolescent a case report
topic Adolescent
Combined hyperactive dysfunction syndrome
Trigeminal neuralgia
Glossopharyngeal neuralgia
url https://doi.org/10.1186/s40981-021-00465-5
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