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13. CRANIAL NEURALGIAS AND CENTRAL CAUSES OF FACIAL PAIN 13.1. Trigeminal neuralgia 13.2. Glossopharyngeal neuralgia 13.2.1. Classical glossopharyngeal neuralgia [G52.10] 13.2.2. Symptomatic glossopharyngeal neuralgia [G53.830] + [code to specify aetiology] 13.3. Nervus intermedius neuralgia [G51.80] 13.4. Superior laryngeal neuralgia [G52.20] 13.5. Nasociliary neuralgia [G52.80] 13.6. Supraorbital neuralgia [G52.80] 13.7. Other terminal branch neuralgias [G52.80] 13.8. Occipital neuralgia [G52.80] 13.9. Neck-tongue syndrome 13.10. External compression headache 13.11. Cold-stimulus headache 13.12. Constant pain caused by compression, irritation or distortion of cranial nerves or upper cervical roots by structural lesions [G53.8] + [code to specify aetiology] 13.13. Optic neuritis [H46]  13.14. Ocular diabetic neuropathy [E10-E14]  13.15. Head or facial pain attributed to herpes zoster 13.16. Tolosa-Hunt syndrome 13.17. Ophthalmoplegic “migraine” 13.18. Central causes of facial pain 13.19. Other cranial neuralgia or other centrally-mediated facial pain [code to specify aetiology] Bibliography and reference14. OTHER HEADACHE, CRANIAL NEURALGIA, CENTRAL OR PRIMARY FACIAL PAIN 

IHS	Diagnosis	ICD-10
13.2.2	Symptomatic glossopharyngeal neuralgia [G53.830] + [code to specify aetiology]	G44.847

Description:

Pain as in 13.2.1 Classical glossopharyngeal neuralgia with the proviso that aching pain may persist between paroxysms and sensory impairment may be found in the distribution of the glossopharyngeal nerve.

Diagnostic criteria:

Paroxysmal attacks of facial pain lasting from a fraction of a second to 2 minutes, with or without persistence of aching between paroxysms, and fulfilling criteria B and C
Pain has all of the following characteristics:
1. unilateral location
2. distribution within the posterior part of the tongue, tonsillar fossa, pharynx or beneath the angle of the lower jaw and/or in the ear
3. sharp, stabbing and severe
4. precipitated by swallowing, chewing, talking, coughing and/or yawning
Attacks are stereotyped in the individual patient
A causative lesion has been demonstrated by special investigations and/or surgery

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