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KMID : 0363120100230030215
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Korean Journal of Pain
2010 Volume.23 No. 3 p.215 ~ p.218
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Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report-
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Kim Seung-Ho
Kim Do-Wan
Yi Jae-Woo
Park Ki-Bum
Kim Chan
Lee Ji-Young
Han Kyung-Ream
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Abstract
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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
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KEYWORD
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carbamazepine, glossopharyngeal neuralgia, permanent pacemaker, syncope
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