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A Diagnostic and Therapeutic Dilemma

Raymond S. Kandt, MD; Fred L. Daniel, MD

Arch Neurol. 1986;43(3):301-302.

Abstract
• A 13-year-old boy had a seven-year history of typical othlgic glossopharyngeal neuralgia, which was relatively unresponsive to medical treatment. Diagnosis was confounded by his young age and the previously unknown onset of glossopharyngeal neuralgia before the age of 16 years. A trigger point was present in the right tonsillar area, anesthesia of which abolished his pain entirely, albeit temporarily. Cervical section of the right glossopharyngeal nerve and its tympanic branch resulted in complete relief to date (13 months).

Author Affiliations
From the Departments of Pediatrics and Neurology (Dr Kandt) and Otorhinolaryngology (Dr Daniel), University of Michigan Medical Center, Ann Arbor. Dr Kandt is now with the Duke University Medical Center, Durham, NC. Dr Daniel is currently in private practice in Savannah, Ga.

Footnotes
Accepted for publication June 3, 1985.

Reprints not available.