A syncope collared

Carotid sinus syncope is a temporary, exaggerated circulatory response to carotid massage, characterized by marked drop in arterial pressure, and varying degree of bradycardia, or even asystole lasting for several seconds, resulting in short lasting loss of consciousness. A related reflex mediated disorder is a fainting precipitated by a parapharyngeal space-occupying lesion, manifests in prolonged episodes of hemodynamic instability. We report a case, where the hemodynamic features of the syncope are well documented. The case illustrates the potential overlap between pulseless electrical activity and syncope, and a simple noninvasive solution for the frightening symptoms is also suggested.