December 2013 Br J Cardiol 2013;20:157–9 doi:10.5837/bjc.2013.36
James Maurice, Hariharan Kuhan, Han B Xiao
Introduction Syncope is defined as a transient loss of consciousness due to cerebral hypoperfusion followed by rapid and complete recovery. It is a common complaint, accounting for 3–5% of Accident and Emergency (A&E) attendances, and up to 50% of these patients are admitted to hospital.1 One rare cause of reflex syncope is mechanical stimulation of the carotid sinus by cancers of the head and neck, and this case demonstrates the challenges in its management. Case report A 68-year-old male presented to the A&E department having suffered from nine episodes of collapse on the day of admission. With the aid of collateral history from h
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