A case of syncopal attacks during glossopharyngeal neuralgia

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概要

• 論文の詳細を見る

• We studied the mechanism of syncope during glossopharyngeal neuralgia. The patient was a 76-year-old man who periodically suffered from a sharp pain below his left ear when opening his mouth or swallowing for the past 8 years. He was admitted to our hospital because of syncopal attacks associated with pain. The electrocardiogram during such pain demonstrated cardiac arrest of a 5-second duration. Brain magnetic resonance imaging (MRI) showed compression of the left glossopharyngeal nerve by the left posterior inferior cerebellar artery. Bradycardia was improved after a pacemaker implantation but pain and hypotension continued. After treatment with carbamazepine both pain and syncopal attacks disappeared. Carbamazepine was effective for glossopharyngeal neuralgia due to compression by cerebral arteries. MRI is useful to evaluate glossopharyngeal neuralgia with syncopal attacks.

• 北里大学の論文
• 2007-03-31

著者

• SUZUKI Kosuke

  Department of Chemical Engineering and Materials Science, Doshisha University

• Kawaguchi Takeo

  Department of Cardiology, Odawara Municipal Hospital

• Suzuki Kosuke

  Department Of Neurology Kitasato University School Of Medicine

• Sakai Fumihiko

  Kitasato Univ. School Of Medicine

• Sakai Fumihiko

  Department Of Neurology Kitasato University School Of Medicine

• Sakai Fumihiko

  Department Of Medicine (neurology) Kitasato University School Of Medicine

• Akutsu Tsugio

  Department of Neurology, Kitasato University School of Medicine

• Akutsu Tsugio

  Department Of Neurology Kitasato University School Of Medicine

• Kawaguchi Takeo

  Department Of Cardiology Odawara Municipal Hospital

• Suzuki Kosuke

  Department Of Applied Chemistry Graduate School Of Engineering The University Of Tokyo

• SAKAI FUMIHIKO

  Department of Internal Medicine, School of Medicine, Kitasato University

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