Syncopal storm caused by glossopharyngeal neuralgia

We report a rare case presenting with up to 50 episodes of syncopes per day in a 54-year-old man with the ultimate diagnosis of idiopathic glossopharyngeal neuralgia. All episodes were started with a severe pain sensation in the right side of the throat followed by asystole and then very slow ventri...

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Veröffentlicht in:	The American journal of emergency medicine 2012-11, Vol.30 (9), p.2101.e5-2101.e7
Hauptverfasser:	Kazemi, Babak, MD, Akbarzadeh, Fariborz, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Asymptomatic Cardiac arrhythmia Electrocardiography Emergency Emergency medical care Emergency Service, Hospital Glossopharyngeal Nerve Diseases - complications Glossopharyngeal Nerve Diseases - diagnosis Glossopharyngeal Nerve Diseases - physiopathology Humans Male Middle Aged Pacemakers Pain Patients Swallowing Syncope - etiology Syncope - physiopathology Ultrasonic imaging
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Beschreibung
Zusammenfassung:	We report a rare case presenting with up to 50 episodes of syncopes per day in a 54-year-old man with the ultimate diagnosis of idiopathic glossopharyngeal neuralgia. All episodes were started with a severe pain sensation in the right side of the throat followed by asystole and then very slow ventricular escape beats. The patient was successfully treated with the combination of carbamazepine, gabapentin, and dual-chamber pacemaker implantation.
ISSN:	0735-6757 1532-8171
DOI:	10.1016/j.ajem.2012.03.003