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http://dx.doi.org/10.3344/kjp.2010.23.3.215

Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report-  

Kim, Seung-Ho (Department of Anesthesiology and Pain Medicine, College of Medicine, Konyang University)
Han, Kyung-Ream (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
Kim, Do-Wan (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
Lee, Jae-Woo (Department of Anesthesiology and Pain Medicine, Eulji Hospital, College of Medicine, Eulji University)
Park, Ki-Bum (Department of Anesthesiology and Pain Medicine, College of Medicine, Yeungnam University)
Lee, Ji-Young (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
Kim, Chan (Department of Anesthesiology and Pain Medicine, Ajou University Hospital, College of Medicine, Ajou University)
Publication Information
The Korean Journal of Pain / v.23, no.3, 2010 , pp. 215-218 More about this Journal
Abstract
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.
Keywords
carbamazepine; glossopharyngeal neuralgia; permanent pacemaker; syncope;
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