Glossopharyngeal neuralgia associated with cardiac syncope

Burfield, L., Ahmad, F. and Adams, J. (2016) Glossopharyngeal neuralgia associated with cardiac syncope. BMJ Case Reports, 2016, bcr2015214104. (doi: 10.1136/bcr-2015-214104) (PMID:27102416) (PMCID:PMC4840765)

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Abstract

Glossopharyngeal neuralgia is a rare pain syndrome presenting with paroxysms of pain in the region of the glossopharyngeal nerve. Even more uncommon is the association between glossopharyngeal neuralgia and cardiac syncope. In these patients, the cardiovascular consequences may include bradycardia, hypotension and cardiac arrest. We describe the case of a 40-year-old patient who presented with this rare association of glossopharyngeal neuralgia and syncope. Multiple pauses including one lasting 14 s were noted on ambulatory ECG monitoring. In this case, the patient declined pharmacological treatment with carbamazepine or with permanent pacing and so far has been in remission from symptoms for 3 months.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Burfield, Dr Laura and Ahmad, Dr Faheem
Authors: Burfield, L., Ahmad, F., and Adams, J.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:BMJ Case Reports
Publisher:BMJ Publishing Group
ISSN:1757-790X
ISSN (Online):1757-790X
Published Online:21 April 2016

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