비인강암 환자에서 발생한 경동맥동 과민증후군

• 영문명: A Syndrome of Carotid Sinus Hypersensitivity in a Patient with Nasopharyngeal Carcinoma
• 발행기관: 대한두경부종양학회
• 저자명: 윤형규(Hyung Gue Yoon) 강진형(Jin Hyung Kang) 문한림(Han Lim Moon) 채장성(Jang Seong Chae) 김훈교(Hoon Kyo Kim) 이경식(Kyung Shik Lee) 김동집(Dong Jip Kim) 이광수(Kwang Soo Lee) 윤세철(Sei Chul Yoon) 조승호(Seung Ho Cho) 서병도(Byung Do Suh)
• 간행물 정보: 『대한두경부종양학회지』제9권 제1호, 63~67쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1993.06.30

국문 초록

저자들은 극소진행형 비인강암(제 4기, N₄N₂(c)) 환자에서 종양으로 인한 경동맥동 과민증후군과 관련되어 실신이 발생하였으며 방사선치료후 호전된 환자 1예를 경험하였다.

영문 초록

The syndrome of carotid sinus hypersensitivity is cardovascular symptom complex including lightheadedness, transient loss of consciousness, perspiration, pallor, weakness of lower extremities, transient hypotension, bradycardia and seizure, which occurs from firing of hyperactive carotid sinus reflex. Most cases are idiopathic, but maliganant tumors involving parapharyngeal space have been occasionally implicated. We present a case of carotid sinus hypersensitivity due to nasopharyngeal carcinoma invading the parapharyngeal space with bilateral cervical lymphnode metastases(stage IV, T₄N₂M(0)). The patient experienced several episodes of severe syncope proceeded by blurring of vision, dizziness and nausea, which were used to occur while he was working in erect position. The tumors were markedly regressed by external radiation therapy with successful resolution of syncope.

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키워드

Carotid sinus hypersensitivity Nasopharyngeal carcinoma