The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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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-

  • 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)
  • Received : 2010.03.31
  • Accepted : 2010.07.23
  • Published : 2010.09.01
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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.

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References

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  1. Permanent Pacemaker Implantation in a Patient with Cardiac Syncope Associated with Glossopharyngeal Neuralgia vol.82, pp.2, 2012, https://doi.org/10.3904/kjm.2012.82.2.217
  2. Opiate-Free Pain Therapy Using Carbamazepine-Loaded Microparticles Provides Up to 2 Weeks of Pain Relief in a Neuropathic Pain Model pp.15307085, 2018, https://doi.org/10.1111/papr.12705