Dysaesthetic neck pain with syncope.
Neurogenic dysaesthetic pain in the neck following surgery for tumours in the neck is rare. Rarer still is the combination of pain following surgery with syncope. We looked at four patients who had tumours within the neck excised and then went on to develop neurogenic dysaesthetic neck pain associated with syncope. Distinction is made between neurogenic dysaesthetic pain following neck surgery and glossopharyngeal neuralgia which has been previously reported in association with neck surgery and also glossopharyngeal neuralgia with syncope. Spinal cord stimulation was used successfully to treat the dysaesthetic pain and syncope in three of the patients while the fourth patient died from the effects of his tumour. Medical practitioners may wish to consider spinal cord stimulation in relation to treating neurogenic dysaesthetic neck pain with syncope.
Butler
J D
JD
The Radcliffe Infirmary, Oxford, UK.
Miles
J
J
D000328:Adult; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology* / Q000628:therapy; D010292:Paresthesia / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications; D013116:Spinal Cord / Q000503:physiopathology; D013575:Syncope / Q000209:etiology* / Q000628:therapy; D004561:Transcutaneous Electric Nerve Stimulation