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Chen B, Zou C, Wu J. Diffuse large B-cell non-Hodgkin lymphoma involving the unilateral carotid space in an elderly man: A case report. Mol Clin Oncol. 2017 Jan; 6(1): 115-118.

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Article

A Case of Cervical Malignant Lymphoma with Carotid Sinus Syndrome Resoluted by Lymph Node Dissection and Subsequent Treatment

1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University


American Journal of Medical Case Reports. 2024, Vol. 12 No. 3, 29-32
DOI: 10.12691/ajmcr-12-3-1
Copyright © 2024 Science and Education Publishing

Cite this paper:
Youichi Yanagawa, Hiroki Nagasawa, Hiroaki Taniguchi, Tatsuro Sakai, Ikuto Takeuchi. A Case of Cervical Malignant Lymphoma with Carotid Sinus Syndrome Resoluted by Lymph Node Dissection and Subsequent Treatment. American Journal of Medical Case Reports. 2024; 12(3):29-32. doi: 10.12691/ajmcr-12-3-1.

Correspondence to: Youichi  Yanagawa, Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University. Email: yyanaga@juntendo.ac.jp

Abstract

A 79-year-old male presented with decreased blood pressure, weight loss, and episodes of transient loss of consciousness. Diagnosed with neurocardiogenic syncope and vagal nerve paralysis, he experienced a loss of consciousness. Despite initial treatments, syncope persisted. Repeated imaging revealed swelling of neck lymph nodes, diagnosed as carotid sinus syndrome. Lymph node biopsy confirmed malignant lymphoma, prompting thorough dissection. Following diagnosis, syncope episodes ceased. Steroid therapy and radiation were initiated due to weight loss and swallowing difficulties. This case underscores the importance of considering surgical interventions, even when non-invasive treatments fail, in managing carotid sinus syndrome caused by cervical malignant lymphoma.

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