title: Vagoglossopharyngeal Neuralgia Occurred Concomitantly with Ipsilateral Hemifacial Spasm and Versive Seizure-Like Movement: A First Case Report.
abstract: Vagoglossopharyngeal neuralgia (VGPN) is a very rare condition. VGPN with convulsive like attack is even rarer All of the cases had their head turned to the opposite side of facial pain. Hemifacial spasm occurring concurrently with VGPN has never been reported. Herein, we present the first case of VGPN that had ipsilateral hemifacial spasm and versive seizure-like movement to the same side of facial pain. We reported a 71-year-old man presenting with multiple episodes of intermittent sharp shooting pain arising on the right middle neck, followed by hemifacial spasm on right face. Then the patient became syncope while his head and gaze turned to the same side of the painful neck. Electrocardiography showed sinus arrest. Interictal Electroencephalography was normal. This patient initially responded to pregabalin for two weeks, then the symptoms became worse. Microvascular decompression and carbamazepine resulted in the complete remission of all symptoms after six months of follow-up. We could not explain the pathophysiology of unilateral versive seizure like movement.
authors.forename: Peeraphong
authors.initials: P
authors.lastname: Thiarawat
authors.forename: Apirath
authors.initials: A
authors.lastname: Wangtheraprasert
authors.forename: Jiraporn
authors.initials: J
authors.lastname: Jitprapaikulsan
mesh_terms: D000368:Aged; D002220:Carbamazepine / Q000627:therapeutic use; D004562:Electrocardiography; D004569:Electroencephalography; D020938:Epilepsy, Partial, Motor / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D020435:Glossopharyngeal Nerve Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D019569:Hemifacial Spasm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D061145:Microvascular Decompression Surgery / Q000379:methods; D009437:Neuralgia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D054138:Sinus Arrest, Cardiac / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D013575:Syncope / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D020421:Vagus Nerve Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy
chemical_list: D002220:Carbamazepine