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Vasovagal syncope and head and neck tumors. Retrospective study

  • Andrea Martínez-Camerano
    Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Hospital Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL). Universidad de Cantabria. Santander. España. https://orcid.org/0009-0007-3754-4334 martinezcamerano.andrea[at]gmail.com
  • Carmelo Morales-Angulo
    Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Hospital Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL). Universidad de Cantabria. Santander. España. https://orcid.org/0000-0002-4268-2762
  • Aida Veiga-Alonso
    Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Hospital Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL). Universidad de Cantabria. Santander. España. https://orcid.org/0009-0004-9223-2219
  • Julia Fernandez-Enseñat
    Servicio de Otorrinolaringología y Cirugía de Cabeza y Cuello. Hospital Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL). Universidad de Cantabria. Santander. España. https://orcid.org/0009-0001-6728-8251
https://doi.org/10.14201/orl.32444

Abstract

Introduction and objectives: Syncope, although rare, can be a manifestation of head and neck tumors. Three clinical pictures have been described: Carotid sinus syndrome, Neuralgia – glossopharyngeal asystole, and Parapharyngeal space syndrome. Our objective was to define the clinical characteristics of these syncodes in our hospital. Methods: Retrospective descriptive study of patients with head and neck tumors who presented related syncope, diagnosed between January 2012 and April 2022 at the Marqués de Valdecilla University Hospital. Results: Five patients with head and neck cancer showed syncope related to their pathology. There were two women and three men, with an average age of 70 years. All had involvement of the parapharyngeal space. Two presented syncope before diagnosis and three after. Conclusions: Syncope should be considered in the differential diagnosis of head and neck tumors, especially after ruling out cardiovascular pathology. In patients already diagnosed, it may indicate involvement of the parapharyngeal space.
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Martínez-Camerano, A., Morales-Angulo, C., Veiga-Alonso, A., & Fernandez-Enseñat, J. (2025). Vasovagal syncope and head and neck tumors. Retrospective study. Revista ORL, e32444. https://doi.org/10.14201/orl.32444

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