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December 1987

Atherosclerosis, Hypertension, and Coronary Artery Disease

Author Affiliations

Barcelona, Spain

Arch Intern Med. 1987;147(12):2217. doi:10.1001/archinte.1987.00370120153031

To the Editor.  —Atherosclerosis, hypertension, and coronary artery disease are the most common causes of the carotid sinus syndrome (CSS), although it might also occur because of local pathologic changes, including tumors of the head and neck.1-3 As for these latter conditions, carotid sinus hypersensitivity may be secondary to extrinsic compression (ie, lymphadenopathy, tumor), postsurgical scar sequelae, and intrinsic tumors of the parotid gland.In this communication, we deal with one case of CSS that we consider secondary to neck radiation therapy in a patient who had a malignant neoplasm of the parotid gland.

Report of a Case.  —A 52-year-old man who was a cigarette smoker (32-pack-year) with a recorded alcohol intake greater than 100 g/d presented with a history of syphilis and tuberculosis. In November 1986, he was diagnosed as having a well-differentiated epidermoid carcinoma of the right parotid gland and underwent a surgical neck dissection. Four of