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AJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology 27:705-707, March 2006
© 2006 American Society of Neuroradiology

Case Report
HEAD AND NECK

Trigeminal and Concurrent Glossopharyngeal Neuralgia Secondary to Lateral Medullary Infarction

H.G. Warren^a, A.L. Kotsenas^a and L.F. Czervionke^a

^a From the Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Fla

Address correspondence to Hillary G. Warren, MD, Mayo Clinic Jacksonville, 4500 San Pablo Rd, Jacksonville, FL 32224

SUMMARY: A 69-year-old woman developed acute pain in the left trigeminal and glossopharyngeal nerve distributions. MR imaging demonstrated a left lateral medullary infarction (LMI) involving the left spinotrigeminal nucleus and tract, nucleus ambiguus, and solitary nucleus. Most patients presenting with trigeminal neuralgia will have disease involving the trigeminal nerve or ganglion or the primary sensory nucleus in the pons. We discuss the unusual finding of LMI associated with concurrent trigeminal and glossopharyngeal neuralgia.

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