title: [Recurrent syncope in head and neck cancer: a case report].
abstract: The repeated syncopes in case of head and neck cancer are a complication rarely described in the literature. They occur when the tumor invade the carotid sinus or the afferent fibers of the glossopharyngeal nerve. We report the case of a 62-year-old man presented episodes of syncope synchronous of a recurrent hypopharyngeal tumor scheduled for chemotherapy and gastrostomy. A computerized tomography showed a voluminous tumor expanded to the carotid and parapharyngeal spaces. After treatment by isporenaline chlorhydrate in intensive care unit, a pacemaker was implanted to prevent syncopes and allowed the beginning of the chemotherapy.
authors.affiliation: Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France. Electronic address: lauriane.bordenave@gmail.com.
authors.forename: L
authors.initials: L
authors.lastname: Bordenave
authors.affiliation: Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France.
authors.forename: A
authors.initials: A
authors.lastname: Moya-Plana
authors.affiliation: Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France.
authors.forename: C
authors.initials: C
authors.lastname: Motamed
authors.affiliation: Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Bourgain
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D002316:Cardiotonic Agents / Q000627:therapeutic use; D002340:Carotid Artery Diseases / Q000150:complications / Q000628:therapy; D005774:Gastrostomy; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000628:therapy; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000150:complications / Q000628:therapy; D007545:Isoproterenol / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010039:Otorhinolaryngologic Neoplasms / Q000150:complications* / Q000628:therapy; D010138:Pacemaker, Artificial; D012008:Recurrence; D013575:Syncope / Q000188:drug therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents; D002316:Cardiotonic Agents; D007545:Isoproterenol
keywords: Cancer ORL; Head and neck cancer; Pacemaker; Stimulateur cardiaque; Syncope