Jho Institute for Minimally Invasive Neurosurgery Department of Neuroendoscopy

Spine Diseases
     Brain Diseases
        neuralgia


Glossopharyngeal Neuralgia surgery: Dr. Jho's Endoscopic Microvascular Decompression Surgery, Glossopharyngeal Nerve Surgery

Dr. Jho's Microvascular Decompression of the Glossopharyngeal Nerve, Minimally Invasive Glossopharyngeal Nerve Surgery

Professor & Chair,  Department of Neuroendoscopy
Jho Institute for Minimally Invasive Neurosurgery   

     Having worked for approximately 20 years with Professor Jannetta (who pioneered the development of various Jannetta procedures for microvascular decompression), Dr. Jho has developed minimally invasive endoscopic microvascular decompression surgery for glossopharyngeal neuralgia and neurovascular compression syndromes of other cranial nerves.  Microvascular decompression surgery was originally pioneered by Professor Jannetta, who has spent his entire neurosurgery career exploring various neurovascular compression syndromes.
     Microvascular decompression is a surgical treatment for cranial nerve disorders such as trigeminal neuralgia, hemifacial spasm, vertigo, tinnitus, glossopharyngeal neuralgia, and spasmodic torticollis.  Microvascular decompression (which consists of placement of small synthetic sponges between the compressing blood vessels and the affected cranial nerves) carries a good chance of relieving the symptoms associated with these disorders.

Discussion
     When blood vessels cross and compress cranial nerves, various characteristic symptoms develop depending upon which cranial nerves are compressed.  Trigeminal neuralgia develops by blood vessel compression of the trigeminal nerve, hemifacial spasm by compression of the facial nerve, intractable positional vertigo by compression of the vestibular nerve, tinnitus by compression of the cochlear nerve, glossopharyngeal neuralgia by compression on the glossopharyngeal nerve, and spasmodic torticollis by pressure on the spinal accessory nerve and upper cervical nerves.  Cranial nerve surgery is done through a small skull opening behind the ear and is referred to as retromastoid craniectomy.  Skin incisions are usually only two inches in length.

     A:         B:
Figure 1.  An arterial loop (PICA) is progressively decompressed with Teflon placement in a patient with glossopharyngeal neuralgia (A).  Teflon placement can be seen at the completion of microvascular decompression of the ninth and tenth cranial nerves (B).


For referral information or appointment for consultation contact:
                            Practice Manager:  Robin A. Coret
              e-mail : rcoret@drjho.com
                                       Tel : (412) 359-6110
                                     Fax : (412) 359-8339

         Address : JHO Institute for Minimally Invasive Neurosurgery
                            Department of Neuroendoscopy
                               Sixth Floor, South Tower
                               Allegheny General Hospital
                               320 East North Avenue
                               Pittsburgh, PA 15212-4772
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                    Dr. Jho via e-mail  hdjho@drjho.com
                                     
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