Intracranial section of the glossopharyngeal and upper roots of the vagus nerves has been recommended, the cardiac dysrhythmia being controlled with atropine, isoprenaline, or transvenous pacemaker.Carbamazepine is known to relieve the pain of uncomplicated glossopharyngeal neuralgia.2In our first patient the combination of carbamazepine and demand pacemaker abolished both pain and syncope within hours.The pacemaker was later withdrawn.In the second patient both neuralgia and syncope were suppressed by carbamazepine for one year.By its inhibitory effect or. brain stem reflex activity carbamazepine appears not only to be an effective treatment for the pain of glosso- pharyngeal neuralgia but also to control the more dangerous brady- cardia and asystole.
No takes yet. Share an insight, caveat, or question.
Pang et al. (1979) studied this question.