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Pain within the distribution of the glossopharyngeal nerve (posterior part of the tongue, tonsillar fossa, pharynx and/or beneath the angle of the lower jaw). In addition, pain is commonly perceived in the ipsilateral ear. The primary pain is usually continuous or near-continuous, and commonly described as burning or squeezing or likened to pins and needles. Brief paroxysms may be superimposed, but they are not the predominant pain type. This combination distinguishes painful glossopharyngeal neuropathy from the subforms of 13.2.1 Glossopharyngeal neuralgia. Sensory deficits may be present in the ipsilateral posterior part of the tongue and tonsillar fossa, and the gag reflex may be weak or missing.