Glossopharyngeal neuralgia

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Sharp left sided throat and tongue pain. MRI to rule out glossopharyngeal nerve pathology.

Patient Data

Age: 40 years
Gender: Male
mri
This study is a stack
Axial
FLAIR
This study is a stack
Coronal T2
fat sat
This study is a stack
Axial
T2
This study is a stack
Axial
FIESTA
This study is a stack
Axial
TOF
This study is a stack
Axial
SWI
This study is a stack
Axial
T1
This study is a stack
Sagittal
T1
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
Download
Info

Vascular loop of left posterior inferior cerebellar artery is seen indenting and mildly displacing left glossopharyngeal nerve posteriorly.

No obvious lesion is seen along the visualised course of both glossopharyngeal nerves.

Brain parenchyma is unremarkable.

mri
This study is a stack
Axial
FIESTA
This study is a stack
Axial
TOF
Download
Info

Arrows pointing towards the point of neurovascular conflict between left posterior inferior cerebellar artery and glossopharyngeal nerve.

Case Discussion

Above findings are suggestive of neurovascular conflict between left posterior inferior cerebellar artery and glossopharyngeal nerve causing glossopharyngeal neuralgia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

:

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.