Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Syndrome of Carotid Sinus Hypersensitivity in a Patient with Nasopharyngeal Carcinoma

비인강암 환자에서 발생한 경동맥동 과민증후군

  • Yoon Hyung-Gue (Departments of Internal Medicine, Catholic University Medical College) ;
  • Kang Jin-Hyung (Departments of Internal Medicine, Catholic University Medical College) ;
  • Moon Han-Lim (Departments of Internal Medicine, Catholic University Medical College) ;
  • Chae Jang-Seong (Departments of Internal Medicine, Catholic University Medical College) ;
  • Kim Hoon-Kyo (Departments of Internal Medicine, Catholic University Medical College) ;
  • Lee Kyung-Shik (Departments of Internal Medicine, Catholic University Medical College) ;
  • Kim Dong-Jip (Departments of Internal Medicine, Catholic University Medical College) ;
  • Lee Kwang-Soo (Departments of Neurology, Catholic University Medical College) ;
  • Yoon Sei-Chul (Departments of Radiation Oncology, Catholic University Medical College) ;
  • Cho Seung-Ho (Departments of Head and Neck Surgery, Catholic University Medical College) ;
  • Suh Byung-Do (Departments of Head and Neck Surgery, Catholic University Medical College)
  • 윤형규 (가톨릭대학교 의과대학 내과학교실) ;
  • 강진형 (가톨릭대학교 의과대학 내과학교실) ;
  • 문한림 (가톨릭대학교 의과대학 내과학교실) ;
  • 채장성 (가톨릭대학교 의과대학 내과학교실) ;
  • 김훈교 (가톨릭대학교 의과대학 내과학교실) ;
  • 이경식 (가톨릭대학교 의과대학 내과학교실) ;
  • 김동집 (가톨릭대학교 의과대학 내과학교실) ;
  • 이광수 (가톨릭대학교 의과대학 신경과학교실) ;
  • 윤세철 (가톨릭대학교 의과대학 치료방사선과학교실) ;
  • 조승호 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 서병도 (가톨릭대학교 의과대학 이비인후과학교실)
  • Published : 1993.06.01
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Abstract

The syndrome of carotid sinus hypersensitivity is cardovascular symptom complex including lightheadedness, transient loss of consciousness, perspiration, pallor, weakness of lower extremities, transient hypotension, bradycardia and seizure, which occurs from firing of hyperactive carotid sinus reflex. Most cases are idiopathic, but maliganant tumors involving parapharyngeal space have been occasionally implicated. We present a case of carotid sinus hypersensitivity due to nasopharyngeal carcinoma invading the parapharyngeal space with bilateral cervical lymphnode metastases(stage IV, $T_4N_2M_0$). The patient experienced several episodes of severe syncope proceeded by blurring of vision, dizziness and nausea, which were used to occur while he was working in erect position. The tumors were markedly regressed by external radiation therapy with successful resolution of syncope.

저자들은 극소진행형 비인강암(제 4기, $N_4N_{2c}$) 환자에서 종양으로 인한 경동맥동 과민증후군과 관련되어 실신이 발생하였으며 방사선치료후 호전된 환자 1예를 경험하였다.

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