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

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