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Glossopharyngeal Neuralgia with Asystole and Seizures
H. D. GARRETSON, M.D.;
A. R. ELVIDGE, M.D.
Arch Neurol. 1963;8(1):26-31.
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Glossopharyngeal neuralgia associated with cardiac asystole and cerebral seizures is an unusual and rare clinical syndrome. The following discussion is based on such a case associated with an interesting anomaly of the second branchial arch. We have been able to find in the literature a total of 4 cases with ninth nerve neuralgia, cardiac asystole, and cerebral seizures. This patient, successfully treated by intracranial section of the ninth cranial nerve, is believed to be the fifth reported case with the full spectrum of this syndrome.
Riley et al.1 were the first to report ninth nerve neuralgia clearly associated with cardiac arrest and seizures, although a case described by Harris2 in which cerebral seizures accompanied typical ninth nerve pain may actually represent an earlier example. Riley's 2 cases, both documented by electrocardiography, showed the full spectrum of neuralgia, fall in blood pressure, asystole, syncope, and generalized convulsions. It is
. . . [Full Text PDF of this Article]
Author Affiliations
MONTREAL, CANADA
Fellow, Montreal Neurological Institute (Dr. Garretson); Montreal Neurological Institute (Dr. Elvidge).
Footnotes
Submitted for publication June 11, 1962.
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