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Gustatory Pain:A Complication of Carotid Endarterectomy
Neurol 39:1258-1260, Truax,B.T., 1989
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Article Abstract
A unique pain syndrome,triggered by gustatory stimuli in the absence of anatomic obstruction of the parotid duct,complicated carotid endarterectomy.We documented asymmetric parotid vasodilatation and sympathetic dysfunction in cutaneous areas overlaying the gland.We postulate that damage to the sympathetic innervation of the parotid gland resulted in unopposed parasympathetically mediated glandular vasodilatation.Vasoactive intestinal polypeptide may have played a role in producing symptoms.A similar syndrome occurs in patients with acute pandysautonomia.
 
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autonomic dysfunction
endarterectomy,carotid
endarterectomy,carotid-complications of
facial nerve,lesion of
facial pain
pain
pain,gustatory
parotid gland swelling

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