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

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Syncope associated with pain as the presenting feature of neck malignancy: failure of cardiac pacemaker to prevent attacks in two cases
  1. P F Worth,
  2. J C Stevens,
  3. F Lasri,
  4. S Brew,
  5. M M Reilly,
  6. C J Mathias,
  7. P Rudge
  1. The National Hospital for Neurology and Neurosurgery, Queen Square, London WC1, UK
  1. Correspondence to:
 Dr Paul Worth
 Consultant Neurologist, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK; paul.worthnnuh.nhs.uk

Abstract

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.

  • CSM, carotid sinus massage
  • CSS, carotid sinus syndrome
  • asystole
  • carotid sinus syncope
  • glossopharyngeal neuralgia
  • neck malignancy

https://doi.org/10.1136/jnnp.2004.054510

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    Footnotes

    • Competing interests: none declared