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British Heart Journal 1987;58:291-292; doi:10.1136/hrt.58.3.291
Copyright © 1987 BMJ Publishing Group Ltd & British Cardiovascular Society

Treatment of glossopharyngeal neuralgia by carbamazepine.

R Saviolo, G Fiasconaro

Divisione di Cardiologia, Ospedale Mauriziano Umberto I, Turin, Italy.

An elderly woman who presented with Adams-Stokes attacks that were preceded by paroxysms of neuralgia was successfully treated with carbamazepine. Ventricular asystole was provoked by pharyngeal pain and coincided with loss of consciousness. Vagal reflexes are probably responsible for the bradycardia that causes the cardiac symptoms of glossopharyngeal neuralgia. Carbamazepine (600 mg/day) abolished the pharyngeal pain and associated cardiovascular manifestations in this patient for at least ten months.


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This article has been cited by other articles:

  • Ozenci, M., Karaoguz, R., Conkbayir, C., Altin, T., Kanpolat, Y. (2003). Glossopharyngeal neuralgia with cardiac syncope treated by glossopharyngeal rhizotomy and microvascular decompression. Europace 5: 149-152 [Abstract]  
  • Odeh, M., Oliven, A. (1994). Glossopharyngeal Neuralgia Associated With Cardiac Syncope and Weight Loss. Arch Otolaryngol Head Neck Surg 120: 1283-1286 [Abstract]  

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