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Glossopharyngeal neuralgia with syncope: a case report
Summary
A 60-year-old woman experienced recurrent syncopes linked to glossopharyngeal neuralgia. A pacemaker implantation successfully resolved the syncopal episodes, though tongue pain persisted.
Area of Science:
- Neurology
- Cardiology
Background:
- Glossopharyngeal neuralgia can present with atypical symptoms.
- Recurrent syncope necessitates thorough cardiological and neurological investigation.
Purpose of the Study:
- To report a rare case of glossopharyngeal neuralgia triggering syncopal episodes due to bradyarrhythmia.
- To highlight the successful management of this potentially life-threatening condition.
Main Methods:
- Case presentation of a 60-year-old female patient.
- Continuous cardiac rhythm monitoring to identify the cause of syncope.
- Diagnostic evaluation for glossopharyngeal neuralgia.
Main Results:
- The patient experienced prolonged asystole and loss of consciousness, preceded by tongue pain.
- Cardiac pacing device implantation effectively eliminated syncopal episodes.
- Episodic tongue pain continued post-pacemaker implantation.
Conclusions:
- Glossopharyngeal neuralgia can induce significant bradyarrhythmia and syncope.
- Pacemaker implantation is an effective treatment for neurocardiogenic syncope secondary to glossopharyngeal neuralgia.
- Further investigation may be needed for persistent pain management.
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