Carotid Sinus Tumor-Induced Positional Bradycardia and Hypotension After Extubation: A Case Report.
bradycardia
carotid sinus compression
carotid sinus hypersensitivity
carotid sinus syndrome (css)
head and neck cancer
hemodynamic instability
intraoperative hypotension
malignancy compression
posture-dependent symptoms
vasovagal response
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Feb 2024
Feb 2024
Historique:
accepted:
10
02
2024
medline:
13
3
2024
pubmed:
13
3
2024
entrez:
13
3
2024
Statut:
epublish
Résumé
Regional progression of head and neck malignancies can lead to carotid sinus tumors, causing hemodynamic instability and carotid sinus syndrome (CSS). A 60-year-old male with tonsillar squamous cell carcinoma developed profound positional bradycardia and hypotension immediately after extubation following dental extraction. The patient developed recurrent episodes of positional bradycardia and hypotension, leading to eventual pacemaker placement. Further workup revealed a large mass in the left neck and necrotic cervical lymphadenopathy, indicating CSS from malignancy compression. This case highlights the need for consideration of CSS in patients with known head and neck malignancy, particularly when postural hypotension and bradycardia are present.
Identifiants
pubmed: 38476805
doi: 10.7759/cureus.54013
pmc: PMC10928458
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e54013Informations de copyright
Copyright © 2024, Kirsch et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.