Glossopharyngeal Neuralgia Associated with Bradycardia, Syncope, and Seizures.
نویسندگان
چکیده
THE SYNDROME of glossopharyngeal neuralgia associated with disturbances of cardiac and cerebral function is a rare disorder, having been reported to our knowledge in only 16 patients.1 '4 It is characterized by paroxysms of neuralgic pain in the throat and neck and accompanied by bradyeardia or asystole, hypotension, syncope, and sometimes seizures. The following report describes detailed cardiovascular and neurologic studies of a patient with this syndrome who responded satisfactorily to treatment with diphenylhydantoin (Dilantin).
منابع مشابه
Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report-
Glossopharyneal neuralgia (GPN) is generally considered to be a pain disease. However, it can be also be a life-threatening cardiac cause of syncope. Neuralgia in the throat and neck can trigger severe bradycardia up to the point of asystole, which can progress to cardiac syncope with or without seizures. A 65 year-old male patient diagnosed with glossopharyngeal neuralgia complained of severe ...
متن کاملGlossopharyngeal neuralgia associated with cardiac syncope.
Glossopharyngeal neuralgia is a rare pain syndrome presenting with paroxysms of pain in the region of the glossopharyngeal nerve. Even more uncommon is the association between glossopharyngeal neuralgia and cardiac syncope. In these patients, the cardiovascular consequences may include bradycardia, hypotension and cardiac arrest. We describe the case of a 40-year-old patient who presented with ...
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The first description of severe pain in the distribution of the glossopharyngeal nerve is credited to Weisenberg, in 1910, in a patient with cerebellopontine angle tumor. However, it was Harris, in 1926, who coined the term glossopharyngeal neuralgia to describe this rare condition characterized by paroxysms of excruciating pain located laterally at the back of the tongue, soft palate, throat, ...
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Intracranial section of the glossopharyngeal and upper roots of the vagus nerves has been recommended, the cardiac dysrhythmia being controlled with atropine, isoprenaline, or transvenous pacemaker. Carbamazepine is known to relieve the pain of uncomplicated glossopharyngeal neuralgia.2 In our first patient the combination of carbamazepine and demand pacemaker abolished both pain and syncope wi...
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Glossopharyngeal neuralgia associated with cardiac syncope developed in a 53 year old man. Symptoms were controlled with temporary and permanent transvenous pacing and carbamazepine.
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ورودعنوان ژورنال:
- Circulation
دوره 30 شماره
صفحات -
تاریخ انتشار 1964