title: [Vagoglossopharyngeal neuralgia treated with vascular decompression].
abstract: This case report describes a 63-year-old man referred with right-sided glossopharyngeal neuralgia. Magnetic resonance imaging (MRI) demonstrated asymmetry of the PICA vessels. A microvascular decompression was performed and complete remission of symptoms followed. After 14 months the neuralgia recurred, this time accompanied by sinus bradycardia/sinus arrest during attacks causing discomfort and syncopes. An MRI now demonstrated an arterial loop at the site of the vagoglossopharyngeal complex leaving the brainstem. After another microvascular decompression, complete remission of symptoms was observed.
authors.affiliation: Neurokirurgisk Afdeling, Glostrup Hospital, DK-2600 Glostrup. doktormunch@hotmail.com
authors.forename: Tina Nørgaard
authors.initials: TN
authors.lastname: Munch
authors.forename: Per
authors.initials: P
authors.lastname: Rochat
authors.forename: Jens
authors.initials: J
authors.lastname: Astrup
mesh_terms: D001919:Bradycardia / Q000209:etiology; D019299:Decompression, Surgical / Q000379:methods*; D020435:Glossopharyngeal Nerve Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009437:Neuralgia / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012008:Recurrence; D054138:Sinus Arrest, Cardiac / Q000209:etiology; D013575:Syncope / Q000209:etiology; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*