Syncope associated with pain as the presenting feature of neck malignancy: failure of cardiac pacemaker to prevent attacks in two cases

Two patients are described in whom syncope was the presenting clinical feature of an undiagnosed neck malignancy. Both patients also had attacks associated with paroxysms of severe neck pain. Neither patient responded to cardiac pacing.

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Bibliographic Details
Published in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2005-09, Vol.76 (9), p.1301-1303
Main Authors: Worth, P F, Stevens, J C, Lasri, F, Brew, S, Reilly, M M, Mathias, C J, Rudge, P
Format: Article
Language:English
Subjects:
Aged
Arrhythmias, Cardiac - etiology
Arrhythmias, Cardiac - therapy
asystole
Biological and medical sciences
Blood pressure
Cardiac arrhythmia
Carotid arteries
carotid sinus massage
carotid sinus syncope
carotid sinus syndrome
Consciousness
Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction
CSM
CSS
Fainting
glossopharyngeal neuralgia
Head and Neck Neoplasms - complications
Headaches
Heart rate
Humans
Lymphoma
Male
Medical sciences
Middle Aged
neck malignancy
Neck Pain - etiology
Nervous system (semeiology, syndromes)
Neurology
Pacemaker, Artificial
Pain
Recurrence
Short Report
Syncope - etiology
Tomography
Tumors of the nervous system. Phacomatoses
Citations: Items that cite this one
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Description
Summary:Two patients are described in whom syncope was the presenting clinical feature of an undiagnosed neck malignancy. Both patients also had attacks associated with paroxysms of severe neck pain. Neither patient responded to cardiac pacing.
ISSN:0022-3050
1468-330X
DOI:10.1136/jnnp.2004.054510