{"id":"d4cb706f-959d-4068-89d0-7e8ad626a61c","slug":"glossopharyngeal-and-vagoglossopharyngeal-neuralgia-long-term-surgical-outcomes-in-a-single-institution","title":"Glossopharyngeal and vagoglossopharyngeal neuralgia: Long-term surgical outcomes in a single institution","authors":["Rogelio Revuelta-Gutiérrez","Fernando Piñon-Jiménez","Oscar Rubén Contreras-Vázquez","Lourdes Olivia Vales-Hidalgo","Jaime Jesús Martinez-Anda"],"abstract":"Background: Glossopharyngeal neuralgia (GPN) and vagoglossopharyngeal neuralgia (VGPN) are infrequent syndromes that can have great negative impact on a patient’s quality of life. The objective of this study is to describe the characteristics and long-term results of patients with GPN-VGPN who are treated surgically with microvascular decompression (MVD) in one institution. Methods: This is a retrospective series of 20 patients with the diagnosis of GPN-VGPN who underwent MVD. Demographic characteristics, surgical results, complications, and long-term follow-up were analyzed. Results: The mean age of symptom onset was 51.25 years and the majority of patients were women (60%). The posterior inferior cerebellar artery was the main offending vessel (75%). The immediate MVD success rate was 100%, but during follow-up, two patients (10%) were diagnosed with VGPN and both cases presented pain recurrence. The mean follow-up was 120.4 (25–333) months. VGPN (P = 0.005) and a ≥5 day hospital stay (P = 0.032) were associated with unsuccessful outcomes. Two complications were documented, which resolved without sequelae. There was no surgical mortality. Conclusion: MVD is an effective and safe treatment for long-term pain relief of GPN-VGPN. VGPN and a prolonged hospital stay were associated with poor outcomes. More studies are required to confirm these findings.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d4cb706f-959d-4068-89d0-7e8ad626a61c/featured/hero-1781560151122.png","publishDate":"2023-07-28T00:00:00.000Z","doi":"10.25259/SNI_518_2023","categories":["Pain","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/d4cb706f-959d-4068-89d0-7e8ad626a61c/pdf"}