Convulsive syncope as the first clinical manifestation of carotid paraganglioma
Síncope convulsivo como primera manifestación clínica de paraganglioma carotídeo
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Convulsive syncope is defined as an episode of loss of consciousness with tonic posture. It is part of the differential diagnoses of epilepsy, as a paroxysmal event with motor, clonic and / or myoclonic manifestations, without epileptiform discharges in the electroencephalogram. The crisis of syncope is part of the brain's response to hypoxic states and represents a challenge that has generated controversy about behavior and behavior to follow. We report the case of a 53-year-old man admitted to the emergency room for presenting a single syncopal episode, associated with tonic posture in the extension of upper extremities, supraversion of the gaze and sphincter relaxation. The extension studies showed a mass dependent on the left carotid in its bifurcation compatible with paraganglioma, which on palpation generated the appearance of events similar to that of admission simulating ictal semiology.
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1. Continuum Lifelong Learning Neurol 2010; 16 (3): 36-56.
2. Brenner RP. Elecrtroencephalography in syncope. J Clin Neurophysiol 1997; 14: 197-209. Revista española de cardiología Journal Of the American College of Cardiology Vol. 40 No. 1, 2002© 2002 by the American College of Cardiology Foundation ISSN 0735-1097/02/$22.00 Published by Elsevier Science Inc. PII S0735-1097(02)01940-X.
3. Instituto Nacional de Oncología y Radiobiología. Quemodectomas de región cervicofacial. Rev. Cubana Medicina 2008.