GLOSSOPHARYNGEAL NEURALGIA IS an uncommon craniofacial pain syndrome t
hat is occasionally associated with cardiac syncope. Involvement of th
e glossopharyngeal nerve may be painless or may be marked by true epis
odic neuralgia, and this justifies the term neuralgia reported here. W
e present 5 cases of this uncommon syndrome, of a total of 15 observed
cases of glossopharyngeal neuralgia, successfully treated by section
of the rootlets of Cranial Nerves IX and X or by microvascular decompr
ession in the posterior cranial fossa. We also analyze the relevant li
terature and discuss the pathogenesis and treatment of the syndrome.