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Cardiac Syncope Due to Glossopharyngeal NeuralgiaTreatment With a Transvenous Pacemaker
Basheer A. Khero, MD;
Charles B. Mullins, MD
Arch Intern Med. 1971;128(5):806-808.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Glossopharyngeal neuralgia associated with bradycardia and syncope is a rare syndrome. The pain is paroxysmal and intense, felt in the ear, throat, posterior part of the tongue, soft palate, and lower lateral and posterior parts of the pharynx. The pain is accompanied by bradycardia or asystole and, at times, syncope with associated convulsions.1-5
This report describes the clinical picture and hospital course of a patient with this syndrome whose syncopal attacks were prevented by a cardiac pacemaker. A 14-day trial of diphenylhydantoin (Dilantin) was used in an attempt to control the paroxysms of pain but was unsuccessful, necessitating surgical resection of the glossopharyngeal nerve.
Patient Summary
A 46-year-old woman was admitted to Parkland Memorial Hospital for the first time in February 1969. She had been seen as an outpatient at another hospital seven years previously when she complained of paroxysms of severe pain below the right ear radiating down
. . . [Full Text PDF of this Article]
Author Affiliations
Dallas
From the Pauline and Adolph Weinberger Laboratory for Cardiopulmonary Research, Department of Internal Medicine, University of Texas (Southwestern) Medical School at Dallas; and Parkland Memorial Hospital, Dallas.
Footnotes
Received for publication Oct 22,1970; accepted Jan 13, 1971.
Reprint requests to Cardiopulmonary-D-710, 5323 Harry Hines Blvd, Dallas 75235 (Dr. Mullins).
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