Carotid sinus syncope due to head and neck cancer is uncommon and the management is challenging. Permanent pacemaker implantation is generally considered but malnutrition with subsequent chemo-radiation increases the risk of device infection. This is a first case report of the sequential use of aminophylline and theophylline for pharmacological temporization. (Level of Difficulty: Advanced.).
Keywords: CR, chemo-radiation; CSS, carotid sinus syncope; PPM, permanent pacemaker; SSS, sick sinus syndrome; aminophylline; carotid sinus syncope; neck cancer; pharmacological temporization; sequential use; theophylline.
© 2019 The Authors.