title: Glossopharyngeal neuralgia with syncope as a sign of neck cancer recurrence.
abstract: Glossopharyngeal neuralgia with syncope as a sign of neck cancer is a very rare condition. A review of the literature revealed only 29 cases formerly reported. We present the first Brazilian case of such association. A 68-year-old man presented with paroxysmal excruciating pain over the right side of the neck, sometimes followed by syncope. Given the suspicion of recurrent tumor from a previously treated neck malignancy, a computed tomography scan was performed and a right parapharyngeal tumor was shown. Pain and syncope were successfully controlled with carbamazepine and the patient underwent palliative radiotherapy.
authors.affiliation: Department of Neurology, Federal University of São Paulo, São Paulo, SP, Brazil. reinaldo_ribeiro@yahoo.com.br
authors.forename: Reinaldo Teixeira
authors.initials: RT
authors.lastname: Ribeiro
authors.forename: Nilton Amorim de
authors.initials: NA
authors.lastname: Souza
authors.forename: Deusvenir de Souza
authors.initials: Dde S
authors.lastname: Carvalho
mesh_terms: D000368:Aged; D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D020435:Glossopharyngeal Nerve Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000150:complications* / Q000175:diagnosis; D010166:Palliative Care; D010610:Pharyngeal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000532:radiotherapy; D013575:Syncope / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D000927:Anticonvulsants; D002220:Carbamazepine