Teaching Video NeuroImages: Vagoglossopharyngeal neuralgia mimick.pdf (215.64 kB)
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Teaching Video NeuroImages: Vagoglossopharyngeal neuralgia mimicking a seizure.

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posted on 22.11.2019 by Albi J. Chalissery, Maria Gaughan, Geoffrey Haughton, Gerard Mullins, Norman Delanty

A 79-year-old woman with a history of partial thyroidectomy for multinodular goiter presented with acute onset episodic left ear pain followed by collapse with loss of awareness and limb jerking. Video EEG captured stereotyped episodes (video, links.lww.com/WNL/A287) with corresponding bradycardia and asystole for several seconds without ictal changes. A diagnosis of vagoglossopharyngeal neuralgia was made. She became symptom-free with eslicarbazepine and pacemaker insertion.

Approximately 10% of patients with glossopharyngeal neuralgia experience bradycardia and syncope. Activation of the vagus nerve (dorsal motor nucleus) by excessive input from the glossopharyngeal nerve (via tractus solitarius) may lead to potential cardiac arrhythmias.

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The original article is available at http://n.neurology.org

Published Citation

Chalissery AJ, Gaughan M, Haughton G, Mullins G, Delanty N. Teaching Video NeuroImages: Vagoglossopharyngeal neuralgia mimicking a seizure. Neurology. 2019;90(13):e1179

Publication Date

27/03/2018

Publisher

Lippincott Williams & Wilkins

PubMed ID

29581336

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