Glossopharyngeal neuralgia with syncope: a case report

We present the case of a 60-year-old woman with known glossopharyngeal neuralgia who was admitted to hospital because of recurrent syncopes associated with episodes of painful sensations in the caudal region of her tongue. Rhythm observation showed prolonged asystole, which was accompanied by a loss of consciousness. The asystole was preceded by an episode of pain. We concluded that the bradyarrhythmia and syncopes where associated with the glossopharyngeal neuralgia. Because of the life-threatening condition, we inserted a permanent dual-chamber pacing device. After implantation of the pacemaker, the patient had no further syncopes, although she still complained of episodic tongue pain.     

Nasolabial cyst. Case report.

We present a case of nasolabial cyst. The clinical and histological aspects are discussed and a new concept of the embryology of the nasolabial cyst in described.     

Diencephalic seizures. Case report

Intractable complex partial and diencephalic seizures in 1 patient are being treated effectively by intermittent daily electrical stimulation in the right thalamus in conjunction with phenytoin, 200 mg/day. Electrical stimulation in the right thalamus was found to suppress spike and sharp wave discharge activity temporarily in the right thalamus and in the left parietal and right scalp leads. It was postulated that beneficial effects from electrical stimulation were due to electrically 'jamming a low-threshold discharge system'.     

Splenic hyalohyphomycosis. Case report

Invasive aspergillosis is an important cause of morbidity and mortality in severely immunocompromised patients, especially those who are neutropenic or who have undergone bone marrow or solid-organ transplant. We report a case of hyalohyphomycosis morphologically suggestive of an Aspergillus spp. in a 22-year-old patient with aplastic anaemia, treated with multiple transfusions and broad spectrum antibiotics.