Cardioneuroablation can be an effective strategy to treat glossopharyngeal neuralgia‐related sinus bradycardia and pauses.

Liu, Nana; Prasad, Rohan; Iyer, Indiresha; Sheikh, Shehryar; Turka, Jashanjit; Dweik, Loai; Bain, Mark; Santangeli, Pasquale; Chung, Mina K.

Introduction: Cardioneuroablation (CNA) has proven effectiveness in addressing hypervagotonia symptoms, such as neurocardiogenic syncope. Methods and Results: In this case, we present the first‐time application of CNA in a case of vago‐glossopharyngeal neuralgia (VGPN). A 59‐year‐old female with near‐syncope, sinus bradycardia, and sinus pauses triggered by recurrent right‐sided neck pain was diagnosed with VGPN. The patient underwent successful treatment with carbamazepine and CNA. Subsequent follow‐up revealed the sustained absence of sinus bradycardia or pauses, even upon neck pain resurgence after discontinuing carbamazepine. Conclusion: In this patient, CNA successfully prevented pauses associated with VGPN, avoiding permanent pacemaker implantation.

BRADYCARDIA treatment; NECK pain treatment; NEURALGIA; ABLATION techniques; SYNCOPE; CARBAMAZEPINE; GLOSSOPHARYNGEAL nerve; CRANIAL nerve diseases; DISEASE complications

Journal of Cardiovascular Electrophysiology, 2024, Vol 35, Issue 10, p2076

1045-3873

Academic Journal

10.1111/jce.16407