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Syncopal storm caused by glossopharyngeal neuralgia
Babak Kazemi1, Fariborz Akbarzadeh
1Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. bkazemia1966@gmail.com
The American Journal of Emergency Medicine
|May 29, 2012
Summary
A rare case of glossopharyngeal neuralgia caused up to 50 daily syncopes. Treatment involved carbamazepine, gabapentin, and a pacemaker, successfully managing this neurological disorder.
Area of Science:
- Neurology
- Cardiology
- Pain Management
Background:
- Idiopathic glossopharyngeal neuralgia is a rare condition causing severe throat pain.
- Syncope, or fainting, can be a symptom of various underlying medical issues.
Observation:
- A 54-year-old man experienced up to 50 syncopal episodes daily.
- Each episode began with severe right-sided throat pain, followed by asystole and slow ventricular escape beats.
Findings:
- The patient was diagnosed with idiopathic glossopharyngeal neuralgia.
- A combination therapy including carbamazepine, gabapentin, and a dual-chamber pacemaker was administered.
Implications:
- This case highlights the potential cardiac manifestations of glossopharyngeal neuralgia.
- Multimodal treatment can effectively manage severe, refractory cases of this condition.
- Understanding the link between neuropathic pain and syncope is crucial for diagnosis.
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