Journal Article

Glossopharyngeal neuralgia with cardiac syncope treated by glossopharyngeal rhizotomy and microvascular decompression

M. Ozenci, R. Karaoguz, C. Conkbayir, T. Altin and Y. Kanpolat

in EP Europace

Published on behalf of European Heart Rhythm Association of the European Society of Cardiology (ESC)

Volume 5, issue 2, pages 149-152
Published in print April 2003 | ISSN: 1099-5129
Published online April 2003 | e-ISSN: 1532-2092 | DOI: http://dx.doi.org/10.1053/eupc.2002.0298
Glossopharyngeal neuralgia with cardiac syncope treated by glossopharyngeal rhizotomy and microvascular decompression

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A glossopharyngeal neuralgia case with cardiac asystole is presented. The sinus mode dysfunction and subsequent syncope with pain appears to be the most important life-threatening symptom in the late period of the disease. Because of cardiac symptoms induced by intense vagal stimulation, this case was considered to be vagoglossopharyngeal neuralgia. Several medical and surgical alternatives have been proposed for its treatment. In the presented case the cause of disease was compression of lower cranial nerves in the right cerebello-pontine angle (CPA) by the vertebro-basilar arterial system. Carbamazepine and pacing were determined ineffective, so the patient was treated surgically by cutting the glossopharyngeal nerve and by decompression of the vagal nerve at the CPA. The sinus arrest and paroxysmal pain attacks disappeared and the patient's life returned to normal.

Keywords: Microvascular decompression; glossopharyngeal neuralgia; vagoglossopharyngeal neuralgia; syncope; pacing

Journal Article.  0 words. 

Subjects: Cardiovascular Medicine

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