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Case Report
Available online 5 March 2022
Chiari type I malformation discovered through a glossopharyngeal neuralgia
Malformación de Chiari tipo I descubierta a través de una neuralgia glosofaríngea
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Alejandro Doval Rodríguez
Corresponding author
, Ramón Serramito García, Beatriz Menéndez Cortezón, Ángel Prieto González
Servicio de Neurocirugía, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, Spain
Received 03 September 2021. Accepted 23 October 2021
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Abstract

Glossopharyngeal neuralgia is a rare disease whose initial treatment is pharmacological. When medical therapy is not effective, different surgical options are available including stereotactic radiosurgery, microvascular decompression or nerve section.

It is reported a case of a 26-year-old female with glossopharyngeal neuralgia and Chiari malformation. This rare type of neuralgia sometimes is associated with an abnormality of the cranio-cervical junction. It was performed a posterior fossa expansion with duraplasty and microvascular decompression. The patient showed a complete disappearance of the pain, with no need of tonsil resection.

Keywords:
Chiari malformation
Glossopharyngeal neuralgia
Dysphagia
Cranio-cervical junction
Resumen

La neuralgia glosofaríngea es una enfermedad rara cuyo tratamiento inicial es farmacológico. Cuando la terapia médica no es eficaz, se encuentran disponibles diferentes opciones quirúrgicas, incluida la radiocirugía estereotáctica, la descompresión microvascular o la sección de nervios.

Se presenta el caso de una mujer de 26 años con neuralgia glosofaríngea y malformación de Chiari. Este tipo raro de neuralgia a veces se asocia con una anomalía de la unión cráneo-cervical. Se realizó una expansión de fosa posterior con duraplastia y descompresión microvascular. La paciente mostró una completa desaparición del dolor, sin necesidad de llevar a cabo la resección de las amígdalas cerebelosas.

Palabras clave:
Malformación de Chiari
Neuralgia glosofaríngea
Disfagia
Unión cráneo-cervical

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