Hypersensitive carotid sinus syndrome due to neurofibromatosis-1 and manifested by repeated episodes of syncope.
A 28-year-old patient with neurofibromatosis-1 presented with syncope. The exam demonstrated a mass adjacent and inferior to the right occiput that extended to the posterior lateral right-sided neck. Initial invasive and noninvasive testing was negative. Imaging of her head and neck demonstrated a large neurofibroma enveloping her right carotid sinus without vessel occlusion or evidence of malignancy. An event recorder documented asystole. A pacemaker was implanted to avoid the surgical morbidity of removing the neck mass. The patient has since been free of syncope. We believe neurofibromatosis-1 should be included in the differential of syncope.
Sutherland
Jessica A
JA
Loyola University Medical Center, Maywood, Illinois 60637, USA.
Stobie
Paul
P
Swarup
Vijay
V
Tierney
Sean P
SP
Lin
Albert C
AC
Burke
Martin C
MC
D000328:Adult; D002346:Carotid Sinus / Q000503:physiopathology*; D016893:Carotid Stenosis / Q000209:etiology*; D017147:Defibrillators, Implantable; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000150:complications*; D006801:Humans; D009456:Neurofibromatosis 1 / Q000150:complications*; D013575:Syncope / Q000209:etiology*