1. [Vagoglossopharyngeal neuralgia treated with vascular decompression].
- Author
-
Munch TN, Rochat P, and Astrup J
- Subjects
- Bradycardia etiology, Glossopharyngeal Nerve Diseases complications, Glossopharyngeal Nerve Diseases diagnosis, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neuralgia complications, Neuralgia diagnosis, Recurrence, Sinus Arrest, Cardiac etiology, Syncope etiology, Treatment Outcome, Decompression, Surgical methods, Glossopharyngeal Nerve Diseases surgery, Neuralgia surgery, Vascular Surgical Procedures methods
- Abstract
This case report describes a 63-year-old man referred with right-sided glossopharyngeal neuralgia. Magnetic resonance imaging (MRI) demonstrated asymmetry of the PICA vessels. A microvascular decompression was performed and complete remission of symptoms followed. After 14 months the neuralgia recurred, this time accompanied by sinus bradycardia/sinus arrest during attacks causing discomfort and syncopes. An MRI now demonstrated an arterial loop at the site of the vagoglossopharyngeal complex leaving the brainstem. After another microvascular decompression, complete remission of symptoms was observed.
- Published
- 2009