A Rare Case of Vagoglossopharyngeal Neuralgia.

BACKGROUND

Glossopharyngeal neuralgia is a rare cause of facial pain, occasionally associated with neurocardiogenic syncope, termed vagoglossopharyngeal neuralgia CASE SUMMARY: We present the case of a 72-year-old man with recurrent syncope triggered by paroxysmal facial pain. Investigations revealed a vascular loop compressing the glossopharyngeal nerve. The patient achieved symptom resolution with carbamazepine therapy.

DISCUSSION: This case highlights the importance of considering neurocardiogenic causes in patients with unexplained syncope and emphasizes the role of multimodal investigations in identifying vagoglossopharyngeal neuralgia.