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[Rare care of Ramsay Hunt syndrome associated with herpes zoster of the glossopharyngeal nerve].

The authors describe a rare coexistence of Ramsay Hunt syndrome with glossopharyngeal zoster in a 67-year-old patient. A trial of systematization of the nomenclature of Ramsay Hunt syndrome is suggested, on the basis of certain anatomophysiological data. It is concluded that in zoster involvement of the sensory elements in the geniculate ganglion and in otic ganglion should be accompanied by taste sensitivity disturbances, but often the patients fail to notice these disturbances and routine taste testing shows also no such tase impairment. Routine use of electrogustometry is postulated since this makes possible diagnostic-prognostic assessment followed by selection of appropriate treatment.

Aged↗

Hoxa3 regulates integration of glossopharyngeal nerve precursor cells.

In vertebrates, certain Hox genes are known to control cellular identities along the anterior-posterior (A-P) axis in the developing hindbrain. In mouse Hoxa3 mutants, truncation of the glossopharyngeal (IXth) nerve or the fusion of the IXth and vagus (Xth) nerves was reported, although its underlying mechanism is largely unknown. To elucidate the mechanism of the IXth nerve defects, we reexamined the phenotype of Hoxa3 mutant embryos. In Hoxa3 mutants, we observed an abnormal caudal stream of the migrating Hoxa3-expressing neural crest cells at the prospective IXth nerve-forming area. Dorsomedial migration of the placode-derived neuronal precursor cells of the IXth nerve was also affected. Motor neurons at rhombomere 6 (r6), where those of the IXth nerve were positioned, often projected axons to the Xth nerve. In summary, the Hoxa3 gene has crucial roles in ensuring the correct axon projection pattern of all three components of the IXth nerve, i.e., motor neurons and sensory neurons of the proximal and distal ganglia.

Animals↗

Different responsiveness of the chorda tympani and glossopharyngeal nerves to L-lysine in mice.

Differential taste responsiveness and functional role of the two taste nerves, the chorda tympani (CT) and the glossopharyngeal (GL), were studied in mice by examining neural and behavioral responses to an essential amino acid, L-lysine (Lys). Relative responses to Lys were larger in the GL than in the CT nerve. The neural threshold for the Lys response was about 2.5 log units lower in the GL (about 1.0 microM) than in the CT nerve (about 300 microM). An analysis of concentration-response relationships suggests a possibility that there are two different receptors (high and low affinity types) for Lys showing different dissociation constants. The posterior tongue region possesses both types, while the anterior region possesses only the low affinity type. Behavioral aversion threshold for Lys in intact mice, measured by use of a single bottle test, was about 1.0 microM. This threshold was the same as its neural threshold in the GL nerve. Animals whose bilateral GL nerves were sectioned showed a higher aversion threshold (about 300 microM) which was the same as the neural threshold in the CT nerve. An aversion conditioned to Lys significantly generalized to L-arginine in the intact and CT-denervated mice, and L-arginine and L-histidine in the GL-denervated mice, but the generalization pattern across various taste stimuli including the four basic taste stimuli (NaCl, HCl, quinine HCl and sucrose) did not prominently differ among the intact, the GL-denervated and CT-denervated mice. These results suggest that taste sensitivity to Lys is higher in the GL than in the CT nerve, but taste quality information for Lys conveyed by two taste nerves is not largely different.

Animals↗

[Glossopharyngeal nerve neuralgia: not just a sore throat].

In this article we describe six cases of glossopharyngeal neuralgia. The characteristic attacks of lancinating pain in throat, ear and tongue can be accompanied by symptoms such as coughing, hoarseness, stridor and fainting. These symptoms can also occur without the pain, which may lead to frequent misdiagnosis and unnecessary investigations. The drugs of choice are carbamazepine, phenytoin and lithium. Persisting symptoms may require an operation.

Adult↗

Contribution of chorda tympani and glossopharyngeal nerves to taste preferences of rat for amino acids and NaCl.

To learn how the gustatory nerves convey information about the nutritionally dependent taste preference, intake of amino acid solutions and saline in rats with bilateral chorda tympani (CTX) and/or glossopharyngeal neurotomy (GPX) was determined during the feeding of a control diet (C) and a L-lysine (Lys) deficient diet (LD). Intact rats preferred L-arginine (Arg) more in C and Lys more in LD. The CTX group did not select nor ingest Lys in LD, and its intake of Arg was also low in C. The GPX group did not substantially alter its preference under both diets, while it did show an increase in total liquid intake. The preference changes in the CTX + GPX group appeared as combined effects of the CTX and the GPX groups. In an additional study, the preference for Lys shifted to higher concentrations and the total consumption of Lys increased in LD. The present data suggest that the chorda tympani nerves possibly function as discriminators of the nutritional information by altering the taste preference, and that the glossopharyngeal nerves may convey other functional taste information, such as aversive tastes, and sensory aspects of osmotic regulation. In addition, it is revealed that the animals have ability to search for a nutrient deficient in their body, and to ingest it to a level that at least nullifies the deficiency.

Amino Acids↗