Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-16T17:00:50.800Z Has data issue: false hasContentIssue false

Swallow Syncope

Published online by Cambridge University Press:  18 September 2015

A. Guberman*
Affiliation:
Department of Medicine, Divisions of Neurology and Cardiology, University of Ottawa
J. Catching
Affiliation:
Department of Medicine, Divisions of Neurology and Cardiology, University of Ottawa
*
Division of Neurology, Ottawa General Hospital, 501 Smyth Rd., Ottawa, Ontario, Canada KIH 8L6
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Swallow syncope is an often misdiagnosed rare disorder due to enhanced vagal tone during eating in patients with underlying esophageal and/or cardiac abnormalities. We present three cases of this disorder, one related to digitalis toxicity and the other two with diffuse esophageal spasm. The investigation, differential diagnosis, prognosis and management of swallow syncope are discussed.

Type
Original Articles
Copyright
Copyright © Canadian Neurological Sciences Federation 1986

References

1.Armstrong, PW, McMillan, DG, Simon, JB.Swallow syncope. Canad Med Assoc J, 1985; 132: 12811284.Google ScholarPubMed
2.Levin, B.Posner, JB.Swallow syncope. Report of a case and review of the literature. Neurology, 1972; 22: 10861093.CrossRefGoogle ScholarPubMed
3.Ahuja, GK, Mohandas, S, Narayanaswamy, AS.Eating epilepsy. Epilepsia, 1980; 21: 8589.CrossRefGoogle ScholarPubMed
4.Cirignotta, F, Marcacci, G, Lugaresi, E.Epileptic seizures precipi- tated by eating. Epilepsia, 1977; 18: 445449.CrossRefGoogle Scholar
5.Jamshidi, A, Masroor, MA.Glossopharyngeal neuralgia with cardiac syncope. Arch Intern Med, 1976; 136: 843845.CrossRefGoogle ScholarPubMed
6.Khero, BA, Mullins, CB.Cardiac syncope due to glossopharyngeal neuralgia. Arch Intern Med, 1971; 128: 806808.CrossRefGoogle ScholarPubMed
7.Garretson, HD, Elvidge, AR.Glossopharyngeal neuralgia with asystole and seizures. Arch Neurol, 1963; 8: 2631.CrossRefGoogle ScholarPubMed
8.Tomlinson, IW, Fox, KM.Carcinoma of the esophagus with “swallow syncope”. Brit Med J, 1975; 2: 315316.CrossRefGoogle ScholarPubMed
9.Tolman, KG, Ashworth, WD.Syncope induced by dysphagia. Correc- tion by esophageal dilatation. Digestive Diseases, 1971; 16: 10261031.CrossRefGoogle Scholar
10.Bortolotti, M, Cirignotta, F, Labo, G.Atrioventricular block induced by swallowing in a patient with diffuse esophageal spasm. JAMA, 1982; 248: 22972299.CrossRefGoogle Scholar
11.Kalloor, GJ, Singh, SP, Collis, JL.Cardiac arrhythmias on swallowing. Amer Heart J, 1977; 93: 235238.CrossRefGoogle ScholarPubMed
12.Lichstein, E, Chadda, KD.Atrioventricular block produced by swallowing with documentation by His-bundle recordings. Amer J Cardiol, 1972; 29: 561563.CrossRefGoogle ScholarPubMed
13.Weiss, S, Ferris, EB.Adams-Stokes syndrome with transient com- lete heart block of vasovagal reflex origin. Arch Intern Med, 1934; 54: 931951.CrossRefGoogle Scholar
14.Brick, JE, Lowther, CM, Deglin, SM. Cold water syncope. South Med J, 1978; 71: 15791580.CrossRefGoogle ScholarPubMed