A case of glossopharyngeal neuralgia successfully treated with levetiracetam
Abstract Background Glossopharyngeal neuralgia is a condition that causes severe pain in the throat during swallowing. Although carbamazepine is a viable option for treating glossopharyngeal neuralgia, there are minimal data regarding the effect of alternative agents to treat it. We report on glosso...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-02-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-023-00596-x |
| _version_ | 1811166035448954880 |
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| author | Hiroyuki Nishie Yuka Sakuta Hideki Nakatsuka |
| author_facet | Hiroyuki Nishie Yuka Sakuta Hideki Nakatsuka |
| author_sort | Hiroyuki Nishie |
| collection | DOAJ |
| description | Abstract Background Glossopharyngeal neuralgia is a condition that causes severe pain in the throat during swallowing. Although carbamazepine is a viable option for treating glossopharyngeal neuralgia, there are minimal data regarding the effect of alternative agents to treat it. We report on glossopharyngeal neuralgia, which is successfully controlled by levetiracetam. Presentation A woman in her 70s checked into our hospital with a chief complaint of neck pain lasting 5 years. She had a history of carbamazepine-induced interstitial pneumonia. As a result, we prescribed oral levetiracetam 1000 mg daily in addition to mirogabalin, which was previously prescribed. This effectively reduced the numerical rating scale from 9 to 1 with no adverse effects. Finally, she underwent microvascular decompression, and her symptoms were resolved. Conclusion Levetiracetam may be an option for patients with glossopharyngeal neuralgia who cannot receive carbamazepine. However, levetiracetam is for off-label use according to the Japanese medical system. |
| first_indexed | 2024-04-10T15:46:59Z |
| format | Article |
| id | doaj.art-fb9992e8a4ea45258c0379555a1d13a4 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-04-10T15:46:59Z |
| publishDate | 2023-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-fb9992e8a4ea45258c0379555a1d13a42023-02-12T12:06:26ZengSpringerOpenJA Clinical Reports2363-90242023-02-01911310.1186/s40981-023-00596-xA case of glossopharyngeal neuralgia successfully treated with levetiracetamHiroyuki Nishie0Yuka Sakuta1Hideki Nakatsuka2Department of Anesthesiology and Intensive Care Medicine, Kawasaki Medical School HospitalDepartment of Anesthesiology and Intensive Care Medicine, Kawasaki Medical School HospitalDepartment of Anesthesiology and Intensive Care Medicine, Kawasaki Medical School HospitalAbstract Background Glossopharyngeal neuralgia is a condition that causes severe pain in the throat during swallowing. Although carbamazepine is a viable option for treating glossopharyngeal neuralgia, there are minimal data regarding the effect of alternative agents to treat it. We report on glossopharyngeal neuralgia, which is successfully controlled by levetiracetam. Presentation A woman in her 70s checked into our hospital with a chief complaint of neck pain lasting 5 years. She had a history of carbamazepine-induced interstitial pneumonia. As a result, we prescribed oral levetiracetam 1000 mg daily in addition to mirogabalin, which was previously prescribed. This effectively reduced the numerical rating scale from 9 to 1 with no adverse effects. Finally, she underwent microvascular decompression, and her symptoms were resolved. Conclusion Levetiracetam may be an option for patients with glossopharyngeal neuralgia who cannot receive carbamazepine. However, levetiracetam is for off-label use according to the Japanese medical system.https://doi.org/10.1186/s40981-023-00596-xGlossopharyngeal neuralgiaCarbamazepineLevetiracetam |
| spellingShingle | Hiroyuki Nishie Yuka Sakuta Hideki Nakatsuka A case of glossopharyngeal neuralgia successfully treated with levetiracetam JA Clinical Reports Glossopharyngeal neuralgia Carbamazepine Levetiracetam |
| title | A case of glossopharyngeal neuralgia successfully treated with levetiracetam |
| title_full | A case of glossopharyngeal neuralgia successfully treated with levetiracetam |
| title_fullStr | A case of glossopharyngeal neuralgia successfully treated with levetiracetam |
| title_full_unstemmed | A case of glossopharyngeal neuralgia successfully treated with levetiracetam |
| title_short | A case of glossopharyngeal neuralgia successfully treated with levetiracetam |
| title_sort | case of glossopharyngeal neuralgia successfully treated with levetiracetam |
| topic | Glossopharyngeal neuralgia Carbamazepine Levetiracetam |
| url | https://doi.org/10.1186/s40981-023-00596-x |
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