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Papers of the Week

2019 Sep

S D Med



Glossopharyngeal Neuralgia: A Multidimensional Challenge.


Sellers A, Simmons M
S D Med. 2019 Sep; 72(9):393-395.
PMID: 31581374.


Glossopharyngeal neuralgia is an underreported condition characterized by discomfort elicited through involvement of the ninthcranial nerve. Triggering phenomena and associated vagal nerve involvement creates the potential for an unexpected clinical presentation. In this case report, we present a 60-year-old male who described a shock-like pain throughout his neck and jaw. The patient initially responded to carbamazepine but the clinical course was complicated by cardiac pauses with syncope requiring pacemaker implantation. Failure of pharmacologic treatment led to surgical intervention.