Severe pain attack associated with neurocardiogenic syncope induced by glossopharyngeal neuralgia: successful treatment with carbamazepine and a permanent pacemaker -a case report-.
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.
Kim
Seung Ho
SH
Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University, Daejeon, Korea.
Han
Kyung Ream
KR
Kim
Do Wan
DW
Lee
Jae Woo
JW
Park
Ki Bum
KB
Lee
Ji Young
JY
Kim
Chan
C