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Clinical review demonstrates low-temperature percutaneous radiofrequency thermoablation preserves neuronal architecture in glossopharyngeal neuralgia, highlighting a viable treatment alternative.
Glossopharyngeal neuralgia (GPN) is a rare craniofacial disorder of the ninth cranial nerve characterized by severe neuralgic pain occurring along the distribution of the glossopharyngeal nerve. Antiepileptics such as carbamazepine and oxcarbazepine form the frontline treatment for the condition. Percutaneous radiofrequency thermoablation (PRT) is a minimally invasive neuroablative procedure which has shown good results in medically refractory cases. Currently, for the management of GPN pulsed radiofrequency treatment is preferred over PRT as it offers neuromodulatory rather than neurodestructive effects. Low-temperature PRT has shown to preserve the neuronal architecture and maintain the potential for nerve repair. This modality can be a useful alternative for the management of GPN.
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Ashish Chakravarty (2024) studied this question.
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