A Case of Syncopal Convulsions Triggered by Glossopharyngeal Neuralgia
İrem Taşcı1
, İbrahim Beydilli2, Caner Feyzi Demir3
, FERHAT BALGETİR3
, MURAT GÖNEN3
, Meryem Bakır1
1Department of Neurology, Malatya Training and Research Hospital, Malatya, Turkey
2Department of Cardiology, Malatya State Hospital, Mardin, Turkey
3Department of Neurology, Firat University School of Medicine, Elazig, Turkey
Keywords: glossopharengial neuralgia, asystole, syncopal convulsion
Abstract
Syncopal convulsions and epileptic seizures are clinically hard to distinguish and differ in terms of treatment approaches. It is important to consider the cardiac arrhythmias that impair cerebral perfusion in the differential diagnosis of antiepileptic treatment-resistant convulsions. Here we offer a 72 year old male patient glossopharengial neuralgia after swallowing associated with recurrent episodes of syncopal convulsions. The patient was successfully treated with temporary pacemaker and carbamazepine. This phenomenon is noteworthy in terms of both asystole triggered by glossopharengial neuralgia and syncopal convulsions which are rare in the differential diagnosis of epileptic seizures.