The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Permanent Pacemaker Implantation in a Patient with Cardiac Syncope Associated with Glossopharyngeal Neuralgia

설인신경통과 동반된 실신 환자에서 영구형 인공 심박동기 치료

  • Cho, Sang-Young (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kim, Na-Young (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Park, Jeong-Rang (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Hwang, Seok-Jae (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Park, Yong-Whi (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Hwang, Jin-Yong (Department of Internal Medicine, Gyeongsang National University School of Medicine) ;
  • Kwak, Choong-Hwan (Department of Internal Medicine, Gyeongsang National University School of Medicine)
  • 조상영 (경상대학교 의학전문대학원 내과학교실) ;
  • 김나영 (경상대학교 의학전문대학원 내과학교실) ;
  • 박정랑 (경상대학교 의학전문대학원 내과학교실) ;
  • 황석재 (경상대학교 의학전문대학원 내과학교실) ;
  • 박용휘 (경상대학교 의학전문대학원 내과학교실) ;
  • 황진용 (경상대학교 의학전문대학원 내과학교실) ;
  • 곽충환 (경상대학교 의학전문대학원 내과학교실)
  • Published : 2012.02.01
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Abstract

Glossopharyngeal neuralgia is a rare disease that is characterized by sharp pain in the posterior pharynx, tonsils, and larynx, triggered by swallowing. Glossopharyngeal neuralgia can trigger bradycardia or asystole, which can induce life-threatening cardiac syncope. A 55-year-old male was admitted with severe paroxysmal pain in his left jaw and ear, followed by asystole and syncope. We report a patient with cardiac syncope associated with glossopharyngeal neuralgia treated with a permanent pacemaker.

설인신경통은 삼킴에 의해 유발되는 극심한 작열통이 설인신경의 지배 영역인 인두, 편도, 후두 부위에 발작적으로 발생하는 드문 질환이다. 설인신경통으로 유발되는 서맥 또는 심장무수축으로 실신이 발생할 수 있고 치명적인 합병증을 초래할 수 있다. 저자들은 설인신경통에 의해 유발되는 심장무수축에 의한 실신으로 영구형 인공 심박동기 치료를 시행한 증례 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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