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January 1986

Hypotension due to Glossopharyngeal Neuralgia

Author Affiliations

From the Department of Medicine, Division of Neurology, Roger Williams General Hospital and Brown University Medical School, Providence, RI.

Arch Neurol. 1986;43(1):90-92. doi:10.1001/archneur.1986.00520010084029

• 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 subintimai 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.