Teaching Video NeuroImages: Vagoglossopharyngeal neuralgia mimicking a seizure.

A 79-year-old woman with a history of partial thyroidectomy for multinodular goiter presented with acute onset episodic left ear pain followed by collapse with loss of awareness and limb jerking. Video EEG captured stereotyped episodes (video, links.lww.com/WNL/A287) with corresponding bradycardia and asystole for several seconds without ictal changes. A diagnosis of vagoglossopharyngeal neuralgia was made. She became symptom-free with eslicarbazepine and pacemaker insertion. Approximately 10% of patients with glossopharyngeal neuralgia experience bradycardia and syncope. Activation of the vagus nerve (dorsal motor nucleus) by excessive input from the glossopharyngeal nerve (via tractus solitarius) may lead to potential cardiac arrhythmias.</p

Acute and chronic demyelinating polyneuropathy post AstraZeneca Covid-19 vaccine

With the rollout of worldwide Covid-19 vaccination programmes, there have been reports of  potential neurological complications which may be attributable to the vaccines. These include cerebral venous sinus thrombosis (CVST)1, which appears to be a complication of thrombosis with  thrombocytopenia syndrome (TTS). This has been documented as a rare complication of the  AstraZeneca and Ad26.COV2.S (Janssen) Covid-19 vaccines </p

Acute and chronic demyelinating polyneuropathy post AstraZeneca Covid-19 vaccine

With the rollout of worldwide Covid-19 vaccination programmes, there have been reports of  potential neurological complications which may be attributable to the vaccines. These include cerebral venous sinus thrombosis (CVST)1, which appears to be a complication of thrombosis with  thrombocytopenia syndrome (TTS). This has been documented as a rare complication of the  AstraZeneca and Ad26.COV2.S (Janssen) Covid-19 vaccines </p