Glossopharyngeal neuralgia is in itself a rare entity and often remains undiagnosed. Asystole, convulsions, and syncope are associated with glossopharyngeal neuralgia in many patients described in the literature, and this condition is called vagoglossopharyngeal neuralgia. These reactions occur due to the complex anatomical relationship between the intermedius, vagus, and glossopharyngeal nerves leading to difficulties during neurosurgical assessment. Here we report a case of 66 year old male, known case of glossopharyngeal neuralgia, presenting with seizure followed by syncope and later on diagnosed to have prolonged sinus pause.

Keywords: Glossopharyngeal Neuralgia; Sinus Pause.