Mód G, Kis E, Schneider I, Varga S M
Tolna Megyei Onkormányzat Kórháza, Szekszárd, Ideggyógyászati Osztály.
Orv Hetil. 1996 Jun 2;137(22):1199-203.
Glossopharyngeal neuralgia an uncommon craniofacial pain syndrome. An association with syncope is even less common. The authors give a short case report of 74-year old woman, who has glossopharyngeal neuralgia associated with syncope. During attacks 10 secundum asystolia was recorded in the ECG. The electrophysiologic study of heart was normal, the carotid test resulted 3 secundum asystolia without clinical symptoms. The electroencephalogram and computertomogram of brain were normal. Carbamazepine and demand pacemaker were effective in controlling the symptoms of the patient. Finally, aetiology, pathogenesis and treatment of glossopharyngeal neuralgia are discussed.
舌咽神经痛是一种罕见的颅面疼痛综合征。与晕厥相关的情况更为少见。作者给出了一例74岁女性的简短病例报告，该患者患有与晕厥相关的舌咽神经痛。发作期间，心电图记录到10次继发性心脏停搏。心脏电生理检查正常，颈动脉试验导致3次继发性心脏停搏但无临床症状。脑电图和脑部计算机断层扫描正常。卡马西平和按需起搏器对控制患者症状有效。最后，讨论了舌咽神经痛的病因、发病机制和治疗方法。
