[Vagoglossopharyngeal neuralgia treated with vascular decompression].
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.
Munch
Tina Nørgaard
TN
Neurokirurgisk Afdeling, Glostrup Hospital, DK-2600 Glostrup. doktormunch@hotmail.com
Rochat
Per
P
Astrup
Jens
J
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*