Glossopharyngeal neuralgia with syncope

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Abstract
Cases (32) of glossopharyngeal neuralgia complicated by syncope, cardiac arrhythmias or convulsions, singly or together, were previously reported. Another case is described, and the clinical features of these 33 are reviewed. Treatment should be undertaken as a matter of urgency. Carbamezapine, often with the addition of atropine, may prove effective. Surgical intervention appears to give a better chance of permanent relief. Four alternative methods of surgery are discussed, and the cervical or the intracranial approach recommended. Surgery should not be delayed in patients who fail to respond to medical treatment or in whom recurrence of symptoms occurs.