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[Glossopharyngeal neuralgia with syncope]

G Mód1, E Kis, I Schneider

  • 1Tolna Megyei Onkormányzat Kórháza, Szekszárd, Ideggyógyászati Osztály.

Orvosi Hetilap
|June 2, 1996
PubMed
Summary

Glossopharyngeal neuralgia, a rare craniofacial pain, can cause syncope due to heart rhythm issues. This case report highlights effective treatment with carbamazepine and a pacemaker.

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Area of Science:

  • Neurology
  • Cardiology
  • Pain Medicine

Background:

  • Glossopharyngeal neuralgia is an uncommon craniofacial pain syndrome.
  • Association with syncope is rare, presenting diagnostic and therapeutic challenges.

Observation:

  • A case report of a 74-year-old woman with glossopharyngeal neuralgia and syncope.
  • ECG during attacks revealed 10-second asystole; carotid sinus testing showed 3-second asystole without symptoms.

Findings:

  • Electrophysiologic cardiac studies and brain imaging (EEG, CT) were normal.
  • Carbamazepine and a demand pacemaker effectively controlled the patient's symptoms.

Implications:

  • This case underscores the importance of considering cardiac involvement in glossopharyngeal neuralgia with syncope.
  • Combined pharmacological and device-based interventions can successfully manage this rare presentation.

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