Ke-Kun Yan*, Zeng-bing Deng, Jian Xu, Liang-bing Wang and Dong-sheng He
Department of Neurosurgery, People’s Hospital of Jianyang City in Sichuan Province, ChinaFulltext PDF
Background and importance: To date, very few SLN cases have been reported, and current treatments for SLN are mainly drugs, nerve block and nerve section. We encountered a case of Idiopathic Superior Laryngeal Neuralgia (ISLN) cured by Microvascular Decompression (MVD) when carbamazepine failed, and this is the first English report on an ISLN cured via MVD worldwide. Clinical presentation: A 62-year-old female farmer was admitted due to a three year history of severe left throat lancinating. Carbamazepine at a dose of 450 mg per day incompletely alleviated symptoms. The patient underwent surgical MVD of the left vagus nerve and was pain free thereafter. Conclusion: ISLN treated by MVD has not been previously reported in English literature. We recommend MVD as the first option for intractable ISLN.
Idiopathic superior laryngeal neuralgia; Microvascular decompression; Vagus nerve
Yan K-K, Deng Z-Bi, Xu J, Wang L-Bi, He D-S. Idiopathic Superior Laryngeal Neuralgia Cured by Microvascular Decompression. Clin Surg. 2019; 4: 2652..