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Updated: Jan 6, 2026

Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Glossopharyngeal Neuralgia: A Multidimensional Challenge.
Alex Sellers1,2, Matthew Simmons3
1University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Glossopharyngeal neuralgia, a rare nerve condition, can cause severe facial pain. This case highlights unusual symptoms and treatment challenges, including cardiac issues, requiring a pacemaker and surgery.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Glossopharyngeal neuralgia involves the ninth cranial nerve, causing facial pain.
- Vagal nerve involvement can lead to atypical presentations.
Observation:
- A 60-year-old male presented with shock-like neck and jaw pain.
- Initial response to carbamazepine was observed.
Findings:
- The patient experienced cardiac pauses and syncope, necessitating pacemaker implantation.
- Pharmacological treatment failure led to surgical intervention.
Implications:
- This case underscores the complex clinical course of glossopharyngeal neuralgia.
- Highlights the need for multidisciplinary management in refractory cases.
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