Painless Glossopharyngeal “Neuralgia” with Syncope: A Case Report and Literature Review

Neurosurgery ◽  
1987 ◽  
Vol 21 (6) ◽  
pp. 916-919 ◽  
Author(s):  
K. Reddy ◽  
D.E. Hobson ◽  
A. Gomori ◽  
G.R. Sutherland
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Pain Syndrome ◽  
Cardiac Pacing ◽  
Glossopharyngeal Nerve ◽  
Glossopharyngeal Neuralgia ◽  
Viable Option ◽  
Initial Management ◽  
Craniofacial Pain

Abstract Glossopharyngeal neuralgia is an uncommon craniofacial pain syndrome. An association with syncope is even less common. We report a case illustrating that the glossopharyngeal neuralgia-syncope syndrome can occur without pain in the sensory distribution of the glossopharyngeal nerve and that it can have similar consequences. We suggest that permanent cardiac pacing alone may be a viable option in the initial management of such cases.

scholarly journals Concurrent Glossopharyngeal Neuralgia and Hemi-Laryngopharyngeal Spasm (HeLPS): A Case Report and a Review of the Literature

Neurosurgery ◽  
2019 ◽  
Vol 87 (5) ◽  
pp. E573-E577
Author(s):  
C Michael Honey ◽  
Marie T Krüger ◽  
Alan R Rheaume ◽  
Josue M Avecillas-Chasin ◽  
Murray D Morrison ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Microvascular Decompression ◽  
Medical Condition ◽  
Posterior Inferior Cerebellar Artery ◽  
Cranial Nerves ◽  
Conversion Disorder ◽  
Glossopharyngeal Neuralgia ◽  
Neurovascular Compression ◽  
Patient Reported

Abstract BACKGROUND AND IMPORTANCE Hemi-laryngopharyngeal spasm (HeLPS) has been recently described but is not yet widely recognized. Patients describe intermittent coughing and choking and can be cured following microvascular decompression of their Xth cranial nerve. This case report and literature review highlight that HeLPS can co-occur with glossopharyngeal neuralgia (GN) and has been previously described (but not recognized) in the neurosurgical literature. CLINICAL PRESENTATION A patient with GN and additional symptoms compatible with HeLPS is presented. The patient reported left-sided, intermittent, swallow-induced, severe electrical pain radiating from her ear to her throat (GN). She also reported intermittent severe coughing, throat contractions causing a sense of suffocation, and dysphonia (HeLPS). All her symptoms resolved following a left microvascular decompression of a loop of the posterior inferior cerebellar artery that was pulsating against both the IXth and Xth cranial nerves. A review of the senior author's database revealed another patient with this combination of symptoms. An international literature review found 27 patients have been previously described with symptoms of GN and the additional (but not recognized at the time) symptoms of HeLPS. CONCLUSION This review highlights that patients with symptoms compatible with HeLPS have been reported since 1926 in at least 4 languages. This additional evidence supports the growing recognition that HeLPS is another neurovascular compression syndrome. Patients with HeLPS continue to be misdiagnosed as conversion disorder. The increased recognition of this new medical condition will require neurosurgical treatment and should alleviate the suffering of these patients.

scholarly journals Ganglioneuroma of Glossopharyngeal Nerve in a Patient with Glossopharyngeal Neuralgia: A Case Report

2020 ◽  
Vol 7 (3) ◽  
pp. 117-120
Author(s):  
Forhad H Chowdhury ◽  
Jalal Uddin Mohammod Rumi ◽  
Farhanaz Zainab ◽  
Maliha Hakim
Keyword(s):  
Case Report ◽  
Glossopharyngeal Nerve ◽  
Glossopharyngeal Neuralgia

Taste Disorders after Tonsillectomy: Case Report and Literature Review

2005 ◽  
Vol 114 (3) ◽  
pp. 233-236 ◽  
Author(s):  
Stéphanie Collet ◽  
Philippe Rombaux ◽  
Philippe Eloy ◽  
Bernard Bertrand
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Essential Role ◽  
Buccal Cavity ◽  
Recovery Period ◽  
Glossopharyngeal Nerve ◽  
Posterior Region ◽  
Review Of The Literature ◽  
Taste Disorders

The authors describe a case of dysgeusia that occurred during the recovery period after a tonsillectomy. The cause was thought to be a lesion to the lingual branch of the glossopharyngeal nerve because of the location of the symptoms at the posterior region of the buccal cavity and because of the raised electrogustometric thresholds in the posterior region of one half of the tongue. Clarification of this type of case was made by a review of the literature from 1966 to June 2004, carried out with the aid of Medline. From a medicolegal standpoint, it is important to inform the patient of the risk of dysgeusia after tonsillectomy, especially if that patient has a profession in which taste plays an essential role.

scholarly journals An Unusual Manifestation of Calcineurin Inhibitor-Induced Pain Syndrome in Kidney Transplantation: A Case Report and Literature Review

2018 ◽  
Vol 19 ◽  
pp. 442-446 ◽  
Author(s):  
Suwasin Udomkarnjananun ◽  
Natavudh Townamchai ◽  
Mathurot Virojanawat ◽  
Yingyos Avihingsanon ◽  
Kearkiat Praditpornsilpa
Keyword(s):  
Kidney Transplantation ◽  
Case Report ◽  
Literature Review ◽  
Calcineurin Inhibitor ◽  
Pain Syndrome ◽  
Unusual Manifestation

Jugular foramen schwannoma presenting with glossopharyngeal neuralgia syncope syndrome

2010 ◽  
Vol 124 (12) ◽  
pp. 1305-1308 ◽  
Author(s):  
Y Saman ◽  
D Whitehead ◽  
M Gleeson
Keyword(s):  
Case Report ◽  
Skull Base ◽  
Clinical Features ◽  
Clinical Presentation ◽  
Cardiac Pacing ◽  
Jugular Foramen ◽  
Glossopharyngeal Neuralgia ◽  
Impaired Consciousness ◽  
Nerve Section ◽  
Variable Clinical Presentation

AbstractIntroduction:Jugular foramen schwannomas are rare skull base tumours which typically have a variable clinical presentation. Glossopharyngeal syncope syndrome is an unusual clinical presentation; in the following case report, it was the sole presentation of an extracranial jugular foramen tumour.Methods:The presentation of a patient with glossopharyngeal neuralgia syncope syndrome is reviewed and the pathophysiology, clinical features and treatment discussed.Results:A 45-year-old woman presented with unilateral throat pain, bradycardia and hypotension leading to episodes of impaired consciousness when lying on her left side or turning her head to the left. Imaging detected a left-sided extracranial jugular foramen schwannoma. The tumour was excised, and the patient had no more syncopal attacks.Conclusion:Glossopharyngeal neuralgia syncope syndrome can be the sole presentation of a jugular foramen schwannoma. Although this syndrome may be treated with anti-dysrhythmic drugs, cardiac pacing or nerve section, in the presented patient excision of the jugular foramen schwannoma was successful in preventing further episodes of syncope.

Glossopharyngeal Nerve Block for Idiopathic Glossopharyngeal Neuralgia: A case report

1998 ◽  
Vol 34 (2) ◽  
pp. 439 ◽  
Author(s):  
Byung Hoon Yoo ◽  
Ji Young Son ◽  
Kee Hyek Hong ◽  
Dong Yeup Sin
Keyword(s):  
Case Report ◽  
Nerve Block ◽  
Glossopharyngeal Nerve ◽  
Glossopharyngeal Neuralgia

scholarly journals Urgent-Start Peritoneal Dialysis – a viable option? A case report and literature review

2020 ◽  
Vol 34 (2) ◽  
Author(s):  
Joana Tavares ◽  
◽  
Filipa Silva ◽  
Anna Lima ◽  
Maria Carvalho ◽  
...  
Keyword(s):  
Peritoneal Dialysis ◽  
Case Report ◽  
Literature Review ◽  
Viable Option

scholarly journals Glossopharyngeal neuralgia due to exposed glossopharyngeal nerve post tonsillectomy and transoral styloidectomy

2020 ◽  
Vol 6 (9) ◽  
pp. 1725
Author(s):  
Ajith Keragodi Mahalingappa ◽  
Richa Gupta ◽  
Sathi Ramakrishnan
Keyword(s):  
Rare Condition ◽  
Pain Syndrome ◽  
Styloid Process ◽  
Glossopharyngeal Nerve ◽  
Glossopharyngeal Neuralgia ◽  
Intractable Pain ◽  
Vagus Nerves ◽  
Inferior Aspect ◽  
Posterior Tongue

<p>Glossopharyngeal neuralgia (GN) is a rare facial pain syndrome, characterized by paroxysm of excruciating radiating pain in the sensory distribution of the auricular and pharyngeal branches of glossopharyngeal and vagus nerves. In relation to the tonsil, the glossopharyngeal nerve passes deep to the styloid process and related muscles attaching to styloid process. The lingual branch of the glossopharyngeal nerve provides sensation to the posterior tongue and enters the tongue base by traveling through the constrictor muscles in the area of the lingulotonsillar sulcus. Post tonsillectomy fossa with exposed nerve causing intractable pain is a rare entity. We report a case of 64 year male patient, post tonsillectomy and transoral styloidectomy, with complaint of severe throat pain on left side for 2 years, radiating upwards to the ipsilateral ear, face and eye. Glossopharyngeal nerve and its branches were found exposed in the posterior and inferior aspect of tonsillar bed. Surgical resection of exposed glossopharyngeal nerve and its branches was carried out in view of failure to respond to oral carbamazepine. Patient was symptom free during 10 months of follow up visit. GN is a rare condition following tonsillectomy and styloidectomy. Radical dissection of tonsillar bed during tonsillectomy and not suturing tonsillar bed properly after styloidectomy can lead to exposure of glossopharyngeal nerve and its branches, resulting in intractable GN.</p>

Sign in / Sign up

Export Citation Format

Share Document