Cases reported "Glossalgia"

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1/4. Localized amyloid tumor of the tongue. A case report and review of the literature.

    Amyloid is usually deposited in the tongue, as a part of generalized amyloidosis. Isolated localized amyloidosis of the tongue is relatively rare. We report such a case which presented with glossodynia and glossopyrosis and was thought clinically to represent median rhomboid glossitis. Histologically the amyloid stained positively with congo-red giving green birefringence under polarized light, was not abolished after permanganate pretreatment and did not react immunohistochemically for amyloid A, beta 2 microglobulin and transthyretin.
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2/4. Glossopyrosis due to adenoid cystic carcinoma.

    Glossopyrosis and glossodynia may occur from local or systemic factors or from any irritation along the course of the lingual nerve. Although cylindroma is relatively rare, it must be considered along with other malignant lesions when neurologic symptoms of burning and pain of the tongue persist. Examination of the lesion is best carried out as multiple needle biopsies rather than as open biopsy, in order to avoid seeding of the skin and lymphatics of the neck. Recurrences are frequent and, because of the slow growth, there must be a long follow-up period. Metastases to the lung and brain, although late, occur in large numbers of patients. Best results are obtained by a combination of radiation therapy and operation because the infiltration is so extensive that operation alone may not eliminate the tumor completely.
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3/4. Aberrant external jugular vein phlebectasia with tongue pain.

    We have not encountered any other report of phlebectasia with tongue pain in the literature. The pain disappeared after the anomalous venous communication was excised.
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4/4. Use of transcutaneous electrical nerve stimulation in the complex treatment of glossalgia.

    Thirty-four patients with glossalgia were studied. The painful part of tongue was electrically stimulated using an 'Elektronika-2M' apparatus with a current of 45 microA for 10-20 min (current strength was patient-controlled to produce the sensation of local prickling): courses consisted of 10-12 treatments. The results of electrical stimulation therapy were compared with results obtained using standard methods of treatment (novocaine blockade, analgesics, etc.), which were used in a control group of 30 patients. Transcutaneous electrical nerve stimulation was highly effective: improvements were noted after the first session, and significant reductions in pain syndrome occurred after 1-3 sessions; therapeutic effects were obtained at the end of treatment in all 34 patients, i.e., in 100% of cases, as compared with 70% in the control group, with remission lasting more than one year in 20 patients and from 3-12 months in 14.
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