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GLOSSOPHARYNGEAL NERVE AS A SOURCE OF OROFACIAL PAIN - DIAGNOSTIC AND THERAPEUTIC CHALLENGES/INERVACIJSKO PODRUCJE GLOSOFARINGEALNOG ZIVCA KAO ISHODISTE OROFACIJALNE BOLI- DIJAGNOSTICKI I TERAPIJSKI IZAZOV
Chronic neuropathic orofacial pain along with physical suffering can cause emotional, psychological and social difficulties, which significantly affects the quality of life of patients. Pain in the area of glossopharyngeal nerve innervation, especially chronic neuropathic, is relatively rare, but is significant because of the great suffering it causes to sufferers. It can be life threatening, due to the cardiac arrhythmia, syncope or convulsions it can cause. Drug treatment is often of limited effectiveness and can be fraught with side effects. It is necessary to look for the etiology of the underlying disease, and if possible, to take adequate causal treatment. This review article discusses the etiology, clinical features, differential diagnosis, and treatment modalities of neuropathic pain in the area of glossopharyngeal nerve innervation. Keywords: orofacial pain, glossopharyngeal nerve, vago-glossopharyngeal neuralgia, glossopharyngeal block Kronicna neuropatska orofacijalna bol uz fizicku patnju moze uzrokovati emocionalne, psihicke i socijalne poteskoce, sto znacajno utjece na kvalitetu zivota bolesnika. Bol u inervacionom podrucju glosofaringealnog zivca, osobito kronicna neuropatska, relativno je rijetka, ali je znacajna zbog velike patnje koju moze uzrokovati oboljelima. Istodobno, moze biti zivotno ugrozavajuca, zbog srcane aritmije, sinkope ili konvulzija koje moze uzrokovati. Medikamentno lijecenje je cesto ogranicene ucinkovitosti i moze biti optereceno nuspojavama. Neophodno je tragati za etiologijom poremecaja, te po mogucnosti poduzeti adekvatno kauzalno lijecenje. Ovaj pregledni clanak govori o etiologiji, klinickim znacajkama, diferencijalnoj dijagnostici i modalitetima lijecenja kronicne neuropatske boli koja potjece iz inervacionog podrucja glosofaringealnog zivca. Kljucne rijeci: orofacijalna bol, glosofaringealni zivac, vagoglosofaringealna neuralgija, glosofaringealni blok