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舌咽“神经痛”诱发的心脏性晕厥:一种罕见的表现。

Cardiac syncope induced by glossopharyngeal "neuralgia": a rare presentation.

作者信息

Korkes Helio, de Oliveira Eduardo Mesquita, Brollo Luigi, Hachul Denise Tessariol, Andrade José Carlos da Silva, Peres Mario Fernando Prieto, Schubsky Victor

机构信息

Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.

出版信息

Arq Bras Cardiol. 2006 Nov;87(5):e189-91. doi: 10.1590/s0066-782x2006001800025.

DOI:10.1590/s0066-782x2006001800025
PMID:17396191
Abstract

The first description of severe pain in the distribution of the glossopharyngeal nerve is credited to Weisenberg, in 1910, in a patient with cerebellopontine angle tumor. However, it was Harris, in 1926, who coined the term glossopharyngeal neuralgia to describe this rare condition characterized by paroxysms of excruciating pain located laterally at the back of the tongue, soft palate, throat, and lateral and posterior pharynx, radiating to the ear. Swallowing, coughing, yawning or chewing may trigger pain, which usually lasts from seconds to minutes. The association between glossopharyngeal neuralgia and syncope is very rare, being identified by brief episodes of bradycardia, asystole, and hypotension. Such an association, with this same pathophysiology, was first described by Riley et al in 1942.

摘要

1910年,魏森堡首次描述了舌咽神经分布区域的剧痛,该患者患有桥小脑角肿瘤。然而,1926年哈里斯创造了“舌咽神经痛”一词,用于描述这种罕见病症,其特征为位于舌后部外侧、软腭、咽喉以及咽侧壁和后壁的阵发性剧痛,并向耳部放射。吞咽、咳嗽、打哈欠或咀嚼可能引发疼痛,疼痛通常持续数秒至数分钟。舌咽神经痛与晕厥之间的关联非常罕见,表现为短暂的心动过缓、心搏停止和低血压发作。具有相同病理生理学的这种关联最早由赖利等人在1942年描述。

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Surg Neurol Int. 2016 May 5;7:51. doi: 10.4103/2152-7806.181824. eCollection 2016.
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Glossopharyngeal neuralgia associated with cardiac syncope.与心脏性晕厥相关的舌咽神经痛。
BMJ Case Rep. 2016 Apr 21;2016:bcr2015214104. doi: 10.1136/bcr-2015-214104.
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An ependymal cyst in cerebello-pontine angle presenting with syncope.一例表现为晕厥的桥小脑角室管膜囊肿。
Brain Tumor Res Treat. 2013 Oct;1(2):121-3. doi: 10.14791/btrt.2013.1.2.121. Epub 2013 Oct 31.
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[Improvement of diagnosis and treatment of glossopharyngeal neuralgia].[舌咽神经痛诊断与治疗的进展]
Schmerz. 2008 Feb;22 Suppl 1:41-6. doi: 10.1007/s00482-007-0615-7.