Tonsillar pain mimicking glossopharyngeal neuralgia as a complication of vagus nerve stimulation: Case report

被引:13
作者
Duhaime, AC
Melamed, S
Clancy, RR
机构
[1] Univ Penn, Div Neurosurg, Childrens Hosp Philadelphia, Sch Med, Philadelphia, PA 19104 USA
[2] Univ Penn, Div Neurol, Childrens Hosp Philadelphia, Sch Med, Philadelphia, PA 19104 USA
关键词
vagus nerve; stimulation; epilepsy; pain; glossopharyngeal neuralgia;
D O I
10.1111/j.1528-1157.2000.tb00261.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
An adolescent girl presented with severe, lancinating tonsillar pain exacerbated by swallowing 6 weeks after initiation of left vagus nerve stimulation for intractable epilepsy. Her symptoms mimicked those seen glossopharyngeal neuralgia and were relieved by temporary cessation of stimulation. Gradual reinstitution of therapy with alteration in stimulus parameters resulted in improved seizure control as well as cessation of pain symptoms. Direct stimulation of the vagus nerve may result in vagoglossopharyngeal neuralgia, which, in this case, was amenable to stimulus modification.
引用
收藏
页码:903 / 905
页数:3
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