{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T18:50:23Z","timestamp":1792176623758,"version":"4.4.0"},"reference-count":24,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Stereotact Funct Neurosurg"],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; Microvascular decompression (MVD) has been the right choice for glossopharyngeal neuralgia (GPN) patients. However, whether glossopharyngeal\/vagal nerve root rhizotomy should be combined with MVD is still controversial. &lt;b&gt;&lt;i&gt;Objective:&lt;\/i&gt;&lt;\/b&gt; To evaluate whether glossopharyngeal\/vagal nerve root rhizotomy during MVD is necessary for the treatment of GPN. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; We performed a retrospective study of 46 GPN patients who underwent MVD surgery alone in our hospital, and their patient demographics, clinical presentations, and intraoperative findings are shown. The immediate and long-term follow-up outcomes were investigated to show the treatment\u2019s efficiency and safety; the outcome was also compared with our previous study. The relevant literature was reviewed to show complications for GPN patients undergoing glossopharyngeal\/vagal nerve root rhizotomy with MVD. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; The most common offending vessel was the posterior inferior cerebellar artery (60.9%). 100% of the patients were pain-free (score of I on the Barrow Neurological Institute pain intensity [BNI-P] scale) immediately after MVD surgery, while 1 patient relapsed with occasional pain 12 months after the operation (score of III on the BNI-P scale). Poor wound healing and hearing loss were found in 1 case each. No complications related to the glossopharyngeal nerve\/vagal nerve were reported. Some surgical techniques, such as thorough exploration of the CN IX\u2013X rootlets, full freeing from arachnoid adhesions, and usage of a moist gelatin sponge, can improve the success rate of the operation. &lt;b&gt;&lt;i&gt;Conclusions:&lt;\/i&gt;&lt;\/b&gt; MVD alone without rhizotomy is an effective and safe method for patients with GPN.<\/jats:p>","DOI":"10.1159\/000505712","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T22:00:34Z","timestamp":1582754434000},"page":"129-135","source":"Crossref","is-referenced-by-count":19,"title":["Microvascular Decompression Alone without Rhizotomy Is an Effective Way of Treating Glossopharyngeal Neuralgia: Clinical Analysis of 46 Cases"],"prefix":"10.1159","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6283-8165","authenticated-orcid":false,"given":"Xuan","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang-Yu","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting-Ting","family":"Ying","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi-Ting","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2020,2,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1041389"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000338089"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1910.92550460001001g"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3171\/2017.3.JNS162542"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4610.2006.00513.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3171\/2015.3.JNS141806"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/neurosurgery\/28.CN_suppl_1.445"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.02.106"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0360-3016(00)00513-7"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.3178.896"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-014-2302-7"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.09.042"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.3109\/02688697.2010.487131"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.3171\/2008.8.17641"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.3171\/2009.2.JNS08977"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1159\/000333828"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004856"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1981.00510040027002"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2017.0506.010"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-002-0991-9"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-017-3369-8"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.181824"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.06.136"}],"container-title":["Stereotactic and Functional Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/505712","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/505712","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:42:20Z","timestamp":1745422940000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000505712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":24,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,29]]},"published-print":{"date-parts":[[2020,5,4]]}},"URL":"https:\/\/doi.org\/10.1159\/000505712","archive":["Portico"],"relation":{},"ISSN":["1011-6125","1423-0372"],"issn-type":[{"value":"1011-6125","type":"print"},{"value":"1423-0372","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}