Glossopharyngeal neuralgia with syncope as a sign of neck cancer recurrence.
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.
Ribeiro
Reinaldo Teixeira
RT
Department of Neurology, Federal University of São Paulo, São Paulo, SP, Brazil. reinaldo_ribeiro@yahoo.com.br
Souza
Nilton Amorim de
NA
Carvalho
Deusvenir de Souza
Dde S
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
D000927:Anticonvulsants; D002220:Carbamazepine