Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Glossopharyngeal neuralgia with syncope].

E Thombansen1, M M Menges, W Thimme

  • 1I. Innere Abteilung des Humboldt-Krankenhauses, Berlin.

Deutsche Medizinische Wochenschrift (1946)
|June 12, 1992
PubMed
Summary

A patient experienced syncope due to glossopharyngeal neuralgia with cardiovascular involvement, showing heart block and asystole. Surgical division of the glossopharyngeal nerve provided partial symptom relief.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Influence of gender on treatment and short-term mortality of patients with acute myocardial infarction in Berlin.

Zeitschrift fur Kardiologie·2004
Same author

Preventable causative factors leading to hospital admission with decompensated heart failure.

Heart (British Cardiac Society)·1999
Same author

[Effect of physical activity on incidence of sudden cardiac death. Study of the Berlin-Reinickendorf and Berlin-Spandau population].

Medizinische Klinik (Munich, Germany : 1983)·1997
Same author

Atrial versus ventricular pacing.

Lancet (London, England)·1995
Same author

[The value of thallium myocardial scintigraphy (single photon emission computerized tomography, SPECT) for diagnosis of ischemia after myocardial infarct].

Medizinische Klinik (Munich, Germany : 1983)·1994
Same author

[Hypersensitive carotid sinus].

Deutsche medizinische Wochenschrift (1946)·1994

Area of Science:

  • Cardiology
  • Neurology
  • Otolaryngology

Background:

  • A 26-year-old male, treated for tonsillar carcinoma 11 years prior, presented with recurrent syncopal episodes.
  • Symptoms included burning ear pain radiating to the throat and tonsil, preceding each syncopal event.

Observation:

  • Electrocardiogram (ECG) revealed complete atrioventricular (AV) block with a slow idioventricular rhythm and a 13-second asystole.
  • 24-hour blood pressure monitoring showed hypotension (65/50 mm Hg) coinciding with pain and dizziness.

Findings:

  • The patient was diagnosed with glossopharyngeal neuralgia exhibiting cardiovascular manifestations.
  • Initial treatment with carbamazepine was ineffective.
  • Surgical division of the glossopharyngeal nerve resulted in partial symptom improvement, but the patient declined further vagal nerve intervention.

Implications:

  • This case highlights a rare association between glossopharyngeal neuralgia and severe cardiac events like AV block and asystole.
  • It underscores the importance of considering neurological causes for unexplained syncope, even years after cancer treatment.
  • Glossopharyngeal nerve sectioning may be a therapeutic option for refractory cases, though complete resolution is not guaranteed.

Related Experiment Videos