Syncopal storm caused by glossopharyngeal neuralgia.
We report a rare case presenting with up to 50 episodes of syncopes per day in a 54-year-old man with the ultimate diagnosis of idiopathic glossopharyngeal neuralgia. All episodes were started with a severe pain sensation in the right side of the throat followed by asystole and then very slow ventricular escape beats. The patient was successfully treated with the combination of carbamazepine, gabapentin, and dual-chamber pacemaker implantation.
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran. bkazemia1966@gmail.com
Babak
B
Kazemi
Fariborz
F
Akbarzadeh
D000208:Acute Disease; D004562:Electrocardiography; D004636:Emergency Service, Hospital; D020435:Glossopharyngeal Nerve Diseases / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D013575:Syncope / Q000209:etiology* / Q000503:physiopathology