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Modeling Brain Metastasis by Internal Carotid Artery Injection of Cancer Cells

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[Recurrent syncope in head and neck cancer: a case report].

L Bordenave¹, A Moya-Plana¹, C Motamed¹

¹Service d'anesthésie, institut Gustave-Roussy, 114, rue Paul-Vaillant, 94805 Villejuif, France.

Annales Francaises D'Anesthesie Et De Reanimation

|June 1, 2014

Summary

Recurrent head and neck cancer can cause rare syncopes due to tumor invasion. A pacemaker successfully prevented these episodes, enabling chemotherapy for a hypopharyngeal tumor patient.

Keywords:

Cancer ORL Head and neck cancer Pacemaker Stimulateur cardiaque Syncope

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A Model for Perineural Invasion in Head and Neck Squamous Cell Carcinoma

A Model for Perineural Invasion in Head and Neck Squamous Cell Carcinoma

Published on: January 5, 2017

Area of Science:

Oncology
Cardiology
Neurology

Background:

Head and neck cancers, particularly hypopharyngeal tumors, can present with rare but serious complications.
Tumor invasion of the carotid sinus or glossopharyngeal nerve afferent fibers can lead to syncope.

Observation:

A 62-year-old male with recurrent hypopharyngeal cancer experienced syncopal episodes.
Computerized tomography revealed a large tumor invading the carotid and parapharyngeal spaces.

Findings:

The patient's syncopal episodes were directly correlated with the recurrent tumor.
Treatment with isoproterenol hydrochloride in the intensive care unit was initiated.
A pacemaker implantation was performed to manage and prevent further syncopal events.

Implications:

This case highlights a rare complication of head and neck cancer, emphasizing the importance of recognizing neurological and cardiovascular symptoms.
Pacemaker implantation can be an effective intervention for managing syncope caused by tumor compression.
Successful management of syncopal episodes facilitates the commencement of essential treatments like chemotherapy.