Glossopharyngeal Neuropathy / Neuralgia with Hemodynamic Instability and Associated Syncope Treated with Stereotactic Radiosurgery: Case Report.

Glossopharyngeal Neuropathy / Neuralgia with Hemodynamic Instability and Associated Syncope Treated with Stereotactic Radiosurgery: Case Report.:

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Glossopharyngeal Neuropathy / Neuralgia with Hemodynamic Instability and Associated Syncope Treated with Stereotactic Radiosurgery: Case Report.
World Neurosurg. 2020 Apr 25;:
Authors: Banerjee C, Viers A, Vender J
Abstract
The incidence of glossopharyngeal neuralgia (GPN)/neuropathy (GPNo) is rare, with approximately 0.4-0.8 cases per 100,000 person-years with less than 3 percent of those cases being associated with cardiac arrhythmias or syncope1-7. The exact relationship between GPN and cardiac arrhythmias remains unknown; however, it is suspected that GPN also involves vagal dysfunction, which can lead to syncope, cardiac dysfunction, or even seizures8. Most of these cases are successfully treated with medical management with or without placement of a cardiac pacemaker. We present the only reported case of GPNo with cardiac dysfunction refractory to medical management and pacemaker placement that was successfully treated with Gamma Knife Radiosurgery (GKR).
PMID: 32344136 [PubMed - as supplied by publisher]