简介：A46-year-oldmanexperiencedseverelancinatingpaininthethroatthatradiatedtotheleftear.Thepain,whichwasexacerbatedbyswallowingorcoughing,hadlastedfor2years.Thefindingsofthepatient'sneurologicalexaminationwerenormal.Computedtomographicandmagneticresonanceimagingscansofthebrainandnasopharynxdidnotshowanyabnormality.Adiagnosisofidiopathicvagoglossopharyngealneuralgiawasmade.Insurgery,boththeglossopharyngealandtheramicommunicansbetweenthevagalandgrssopharyngealnervesweresectioned.Thepatientwasfreeofpainfollowingthesurgery,butcomplainedofhoarsenessinvoice.Examinationshowedparalyzedleftvocalcordataparamedianposition.Inthe12monthsfollowingthesurgery,thehoarsenesshasgraduallyimprovedandeventuallydisappeared.