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Case Report of Concurrent Trigeminal Neuralgia and Glossopharyngeal Neuralgia

  • Chang Min Shin (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Hyun Seob Park (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Geun Mo Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Kyung Won Ha (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Young Hun Lee (Department of Rehabilitation, College of Korean Medicine, Dong-Eui University) ;
  • Shin Young Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Jong Cheol Seo (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Hyun Min Yoon (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University) ;
  • Cheol Hong Kim (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dong-Eui University)
  • Received : 2024.08.21
  • Accepted : 2024.09.06
  • Published : 2024.08.01

Abstract

This study presents the first case of concurrent trigeminal neuralgia (TN) and glossopharyngeal neuralgia (GPN) that was improved with integrated Korean and Western medicine. The patient was admitted to Dong-Eui University Korean Medicine Hospital from June 11, 2024, to June 22, 2024, and was treated twice in the outpatient department. During the clinic period, the patient received Korean (acupuncture, pharmacopuncture, acupotomy, temporomandibular joint balancing therapy, and herbal medicine) and Western medicine treatment. Visual analog scale (VAS) and EQ-5D-5L were used to measure pain and discomfort. After treatment, the VAS pain level decreased from 7 to 0. On the EQ-5D-5L, the usual activity level decreased from 3 to 1, and the pain/discomfort level decreased from 4 to 1. Although these findings present the applicability and effectiveness of integrated Korean medicine in the treatment of TN and GPN, more studies are needed to confirm the efficacy.

Keywords

References

  1. Jeon YM, Tae IH, Choi JH, Ahn HJ, Shim WH, Kwon JS. Clinical considerations of trigeminal neuralgia. J Oral Med Pain 2007;32:449-453.
  2. Ahn JM, Kim JH, Hong SJ. Clinical features and management of the patients with trigeminal neuralgia in Korea. Oral Biol Res 2011;35:116-121. doi: 10.21851/obr.35.2.201109.116
  3. Resnick DK, Jannetta PJ, Bissonnette D, Jho HD, Lanzino G. Microvascular decompression for glossopharyngeal neuralgia. Neurosurgery 1995;36:64-68; discussion 68-69. doi: 10.1227/00006123-199501000-00008
  4. Brazis PW, Masdeu JC, Biller J. Localization in clinical neurology. 1st Engl. ed. Kim SM, Seonwoo IN, Lee KS, Choi KK, Choi IS, translator. Jungdam. 1999:359, 362-363.
  5. Park CK, Lim SH, Park BJ. Diagnosis and treatment of trigeminal neuralgia. J Korean Med Assoc 2023;66:11-18. doi: 10.5124/jkma.2023.66.1.11
  6. Kim SJ, Choi HK, Kim MJ, Cha HJ, Lee YR, Jang HJ, et al. Integrative Korean medicine treatment for idiopathic glossopharyngeal neuralgia: a case report. J Acupunct Res 2022;39:229-233. doi: 10.13045/jar.2022.00108
  7. Park CH, Cho MR, Yoon YC, Leu CR. Clinical study of oriental-western collaborative medical treatment 1 case of patient with glossopharyngeal neuralgia. J Korean Acupunct Moxibustion Soc 2000;17:180-187.
  8. Lee CW, Kang JY, Lee SH, Kim CH. A case report of patient with idiopathic glossopharyngeal neuralgia. J Korean Med Ophthalmol Otolaryngol Dermatol 2015;28:102-111. doi: 10.6114/jkood.2015.28.2.102
  9. Kim SH, Ahn J, Ock M, Shin S, Park J, Luo N, et al. The EQ-5D5L valuation study in Korea. Qual Life Res 2016;25:1845-1852. doi: 10.1007/s11136-015-1205-2
  10. Park JS, Ahn YH. Glossopharyngeal neuralgia. J Korean Neurosurg Soc 2023;66:12-23. doi: 10.3340/jkns.2022.0178
  11. Zhang R, Lao L, Ren K, Berman BM. Mechanisms of acupuncture-electroacupuncture on persistent pain. Anesthesiology 2014; 120:482-503. doi: 10.1097/ALN.0000000000000101
  12. Lee YC, Lee CY. [Dong's Qi acupoint blood pricking therapy combined with acupuncture in the treatment of trigeminal neuralgia in 30 cases]. World Latest Med Inf 2018;18:182. Chinese. doi: 10.19613/j.cnki.1671-3141.2018.49.150
  13. Yang TJ, Lee JH, Kim SW, Jeong JY, Wei TS. A case of trigeminal neuralgia treated by Korean medical treatment including bee venom pharmacopuncture. Korean J Acupunct 2014;31:225-228. doi: 10.14406/acu.2014.029
  14. Choi SW, Park MH, Lim ST. The clinical study on a case of transverse myelitis with bee venom and Hominis placenta herbal acupuncture. J Pharmacopuncture 2005;8:17-22.
  15. Song I, Hong KE. The comparison between acupotomy therapy and epidural neuroplasty(lumbar vertebra). J Korean Acupunct Moxibustion Soc 2010;27:9-18.
  16. Yin CS, Koh HG, Lee YJ, Chun SI, Lee YJ. Functional cerebrospinal therapy (FCST), a new physiologic therapeutics developed as meridian yin-yang balance approach. Korean J Meridian Acupoint 2005;22:169-174.
  17. Noh EJ. Instruction manual of Sanghan-Geumgwebang. Barunhanyak. 2020:234-259, 1531-1534.