Hypotension due to glossopharyngeal neuralgia
R. E. Weinstein, D. Herec and J. H. Friedman
We studied two cases of glossopharyngeal neuralgia with hypotension and
syncope. A patient undergoing carotid angiography suffered glossopharyngeal
neuralgia, bradycardia, and hypotension due to a hematoma from a subintimal
injection of dye. The second patient developed glossopharyngeal neuralgia
with hypotension in the absence of bradycardia due to a metastatic head and
neck tumor. This patient's hypotension was refractory to the administration
of atropine sulfate and occurred in the presence of sinus tachycardia,
suggesting that baroreceptor vasodepressor activity was selectively
elevated.
