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Published on: September 20, 2018
First Reported Case of Deglutition Syncope With Underlying Suppurative Parotitis
Syed Hamza Bin Waqar1, Anosh Aslam Khan2, Osama Mohiuddin2
1Department of Internal Medicine, State University of New York, Down State Medical Center, Brooklyn, NY.
Deglutition syncope, a neurally mediated event, can cause dangerous arrhythmias. This study documents the first case of swallowing syncope linked to acute suppurative parotitis, resolving after parotid swelling decreased.
Area of Science:
- Neurology
- Cardiology
- Otolaryngology
Background:
- Deglutition syncope and carotid sinus hypersensitivity are neurally mediated events causing cardiovascular events.
- These conditions are often linked to gastroesophageal or cardiovascular issues.
Observation:
- A rare case of deglutition syncope occurred in a patient with acute suppurative parotitis.
- This presentation is the first documented instance of this specific association.
Findings:
- The patient's swallowing syncope resolved after the parotid gland swelling subsided.
- This suggests a potential link between parotid inflammation and deglutition syncope.
Implications:
- This case highlights a novel, non-gastroesophageal or cardiovascular cause of deglutition syncope.
- It underscores the importance of considering otolaryngological conditions in the differential diagnosis of syncope.
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