Bordenave L, Moya-Plana A, Motamed C, Bourgain J-L
Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France.
Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France.
Ann Fr Anesth Reanim. 2014 Jun;33(6):418-20. doi: 10.1016/j.annfar.2014.04.011. Epub 2014 May 28.
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.
头颈部癌症患者反复出现晕厥是文献中很少描述的一种并发症。当肿瘤侵犯颈动脉窦或舌咽神经的传入纤维时就会发生。我们报告了一例62岁男性病例,该患者出现与计划进行化疗和胃造口术的复发性下咽肿瘤同步的晕厥发作。计算机断层扫描显示一个巨大的肿瘤扩展至颈动脉和咽旁间隙。在重症监护病房用盐酸异丙肾上腺素治疗后,植入了起搏器以预防晕厥,并得以开始化疗。