Córdoba López A, Torrico Román P, Inmaculada Bueno Alvarez-Arenas M, Monterrubio Villar J, Corcho Sánchez G
Especialista en Medicina Familiar y Comunitaria. Unidad de Cuidados Intensivos. Hospital Comarcal de Don Benito-Villanueva. Don Benito. Badajoz.
Rev Esp Cardiol. 2001 May;54(5):649-51. doi: 10.1016/s0300-8932(01)76369-5.
The clinic association between tumors in the neck and syncopal attacks has been well documented but uncommon. The pathogenesis of this type of syncope has been attributed to an specific sinus node disfunction and several diseases that affect pacemaker activity, cardiac output and blood supply to the brain are able to produce it. The most common reflex cardiovascular sindromes linked to the IX nerve are carotid sinus syndrome and glossopharyngeal neuralgia-asystole syndrome. Some patients with a pathological involvement of the parapharyngeal space also suffers from syncope but the clinical picture of these patients differs so greatly from the other two syndromes, which suggests specific aetiological, clinical and therapeutical features so the term "parapharyngeal space lesiones syncope-syndrome" has been proposed for this entity. We report a case of a patient with a neck tumor in the parapharyngeal space with syncope as the major symptom.
颈部肿瘤与晕厥发作之间的临床关联已有充分记录，但并不常见。这种类型晕厥的发病机制归因于特定的窦房结功能障碍，多种影响起搏器活动、心输出量和脑部血液供应的疾病都可能导致晕厥。与第九神经相关的最常见反射性心血管综合征是颈动脉窦综合征和舌咽神经痛-心搏停止综合征。一些咽旁间隙有病理改变的患者也会出现晕厥，但这些患者的临床表现与其他两种综合征有很大不同，这表明其具有特定的病因、临床和治疗特征，因此有人提出用“咽旁间隙病变晕厥综合征”来描述这一实体。我们报告一例以晕厥为主要症状的咽旁间隙颈部肿瘤患者。
