Glossopharyngeal neuralgia is a rare cranial nerve pain disorder that can cause sharp, electric, one-sided pain in the throat, tonsil area, base of the tongue, or deep ear. Because its symptoms often resemble ear, throat, dental, or tonsil problems, it is frequently missed or misdiagnosed. This article explains the key symptoms, diagnostic approach, difference from Eagle syndrome, and treatment options including medication, nerve blocks, and microvascular decompression.