İrem TAŞÇI, İbrahim BEYDILLI, Caner Feyzi DEMİR, Ferhat BALGETİR, Murat GÖNEN, Meryem BAKIR

A case of syncopal convulsions triggered by glossopharyngeal neuralgia

Syncopal convulsions and epileptic seizures are clinically hard to distinguish and differ in terms of treatment approaches. Itis important to consider the cardiac arrhythmias that impair cerebral perfusion in the differential diagnosis of antiepileptictreatment-resistant convulsions. Here, we offer a 72-year-old male patient glossopharyngeal neuralgia (GN) after swallowingassociated with recurrent episodes of syncopal convulsions. The patient was successfully treated with temporary pacemakerand carbamazepine. This phenomenon is noteworthy in terms of both asystole triggered by GN and syncopal convulsionswhich are rare in the differential diagnosis of epileptic seizures.

Glossofarengeal nevraljinin tetiklediği senkopal konvülziyon olgusu

Senkopal konvülziyonların ve epileptik nöbetlerin klinik olarak ayırtedilmesi zordur ve tedavi yaklaşımları farklılık gösterir. Antiepileptik tedaviye dirençli konvülziyonların ayırıcı tanısında serebral perfüzyonu bozan kardiyak aritmileri düşünmek önemlidir. Bu yazıda, yutkunma ile ilişkili tekrarlayan senkopal konvülsiyon atakları olan 72 yaşındaki glossofarengeal nevraljili erkek hasta sunuldu. Hasta geçici kalp pili ve karbamazepin ile başarılı bir şekilde tedavi edildi. Bu olgu, epileptik nöbetlerin ayırıcı tanısında nadir görülen glossopharengial nevralji ve buna bağlı asistolinin tetiklediği senkopal konvülziyonlara dikkat çekmektedir.

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