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Nasopharyngeal carcinoma presenting with horner syndrome and carotid-sinus syncope
Eylem Degirmenci1, Cagdas Erdogan, Duygu Aras
1Neurology Department, Faculty of Medicine, Pamukkale University, Denizli, Turkey. eylemteke@yahoo.com
Introduction:
Nasopharyngeal carcinoma can present with different neurological signs and findings. In this paper, we report a patient presenting with Horner syndrome and syncopal episodes who was finally diagnosed with nasopharyngeal carcinoma.
Case Report:
A 56-year-old man presented with a history of slowly progressive right upper-eyelid droop for the last 1.5 months and episodes of loss of consciousness. After detailed clinical and laboratory examinations, the patient had the final diagnosis of metastatic nasopharyngeal carcinoma.
Conclusions:
This is the first case with nasopharyngeal carcinoma presenting with both Horner syndrome and carotid-sinus syncope. The mechanism of Horner syndrome and the syncopal episodes and their relation with the lesion location are discussed.
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