title: Severe pain attack associated with neurocardiogenic syncope induced by glossopharyngeal neuralgia: successful treatment with carbamazepine and a permanent pacemaker -a case report-.
abstract: Glossopharyneal neuralgia (GPN) is generally considered to be a pain disease. However, it can be also be a life-threatening cardiac cause of syncope. Neuralgia in the throat and neck can trigger severe bradycardia up to the point of asystole, which can progress to cardiac syncope with or without seizures. A 65 year-old male patient diagnosed with glossopharyngeal neuralgia complained of severe paroxysmal pain in his right chin and ear followed by bradycardia, aystole and syncope. We report a case successfully treated with a permanent pacemaker and carbamazepine in a patient with GPN who had syncopal attacks preceded by paroxysms of pain.
authors.affiliation: Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea.
authors.forename: Seung Ho
authors.initials: SH
authors.lastname: Kim
authors.forename: Kyung Ream
authors.initials: KR
authors.lastname: Han
authors.forename: Do Wan
authors.initials: DW
authors.lastname: Kim
authors.forename: Jae Woo
authors.initials: JW
authors.lastname: Lee
authors.forename: Ki Bum
authors.initials: KB
authors.lastname: Park
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Lee
authors.forename: Chan
authors.initials: C
authors.lastname: Kim