A case of glossopharyngeal neuralgia successfully treated with levetiracetam

BACKGROUND: Glossopharyngeal neuralgia is a condition that causes severe pain in the throat during swallowing. Although carbamazepine is a viable option for treating glossopharyngeal neuralgia, there are minimal data regarding the effect of alternative agents to treat it. We report on glossopharynge...

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Autores principales: Nishie, Hiroyuki, Sakuta, Yuka, Nakatsuka, Hideki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905337/
https://www.ncbi.nlm.nih.gov/pubmed/36749429
http://dx.doi.org/10.1186/s40981-023-00596-x
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author Nishie, Hiroyuki
Sakuta, Yuka
Nakatsuka, Hideki
author_facet Nishie, Hiroyuki
Sakuta, Yuka
Nakatsuka, Hideki
author_sort Nishie, Hiroyuki
collection PubMed
description BACKGROUND: Glossopharyngeal neuralgia is a condition that causes severe pain in the throat during swallowing. Although carbamazepine is a viable option for treating glossopharyngeal neuralgia, there are minimal data regarding the effect of alternative agents to treat it. We report on glossopharyngeal neuralgia, which is successfully controlled by levetiracetam. PRESENTATION: A woman in her 70s checked into our hospital with a chief complaint of neck pain lasting 5 years. She had a history of carbamazepine-induced interstitial pneumonia. As a result, we prescribed oral levetiracetam 1000 mg daily in addition to mirogabalin, which was previously prescribed. This effectively reduced the numerical rating scale from 9 to 1 with no adverse effects. Finally, she underwent microvascular decompression, and her symptoms were resolved. CONCLUSION: Levetiracetam may be an option for patients with glossopharyngeal neuralgia who cannot receive carbamazepine. However, levetiracetam is for off-label use according to the Japanese medical system.
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spelling pubmed-99053372023-02-08 A case of glossopharyngeal neuralgia successfully treated with levetiracetam Nishie, Hiroyuki Sakuta, Yuka Nakatsuka, Hideki JA Clin Rep Case Report BACKGROUND: Glossopharyngeal neuralgia is a condition that causes severe pain in the throat during swallowing. Although carbamazepine is a viable option for treating glossopharyngeal neuralgia, there are minimal data regarding the effect of alternative agents to treat it. We report on glossopharyngeal neuralgia, which is successfully controlled by levetiracetam. PRESENTATION: A woman in her 70s checked into our hospital with a chief complaint of neck pain lasting 5 years. She had a history of carbamazepine-induced interstitial pneumonia. As a result, we prescribed oral levetiracetam 1000 mg daily in addition to mirogabalin, which was previously prescribed. This effectively reduced the numerical rating scale from 9 to 1 with no adverse effects. Finally, she underwent microvascular decompression, and her symptoms were resolved. CONCLUSION: Levetiracetam may be an option for patients with glossopharyngeal neuralgia who cannot receive carbamazepine. However, levetiracetam is for off-label use according to the Japanese medical system. Springer Berlin Heidelberg 2023-02-07 /pmc/articles/PMC9905337/ /pubmed/36749429 http://dx.doi.org/10.1186/s40981-023-00596-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Nishie, Hiroyuki
Sakuta, Yuka
Nakatsuka, Hideki
A case of glossopharyngeal neuralgia successfully treated with levetiracetam
title A case of glossopharyngeal neuralgia successfully treated with levetiracetam
title_full A case of glossopharyngeal neuralgia successfully treated with levetiracetam
title_fullStr A case of glossopharyngeal neuralgia successfully treated with levetiracetam
title_full_unstemmed A case of glossopharyngeal neuralgia successfully treated with levetiracetam
title_short A case of glossopharyngeal neuralgia successfully treated with levetiracetam
title_sort case of glossopharyngeal neuralgia successfully treated with levetiracetam
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9905337/
https://www.ncbi.nlm.nih.gov/pubmed/36749429
http://dx.doi.org/10.1186/s40981-023-00596-x
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