{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T15:55:45Z","timestamp":1761580545025},"reference-count":5,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2007,10,12]],"date-time":"2007-10-12T00:00:00Z","timestamp":1192147200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215107000758_sec1\"><jats:title>Objective:<\/jats:title><jats:p>To describe a previously unreported syndrome of recurrent syncopal attacks provoked by light stimulation of the external auditory canal.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215107000758_sec2\"><jats:title>Case report:<\/jats:title><jats:p>A 13-year-old girl had been receiving treatment for presumed absence seizures, with inadequate treatment response. Imaging was normal. Careful history taking indicated that the recurrent syncopal attacks were precipitated by external auditory canal stimulation. Targeted autonomic function tests confirmed a hyperactive vagal response, with documented significant bradycardia and lightheadedness, provoked by mild stimulation of the posterior wall of the left external auditory canal. Abstinence from ear scratching led to complete alleviation of symptoms without any pharmacological treatment.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215107000758_sec3\"><jats:title>Conclusions:<\/jats:title><jats:p>Reflex syncope consequent to stimulation of the auricular branch of the vagus nerve is proposed as the pathophysiological mechanism for this previously undocumented syndrome.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215107000758","type":"journal-article","created":{"date-parts":[[2007,10,12]],"date-time":"2007-10-12T09:31:02Z","timestamp":1192181462000},"page":"1115-1117","source":"Crossref","is-referenced-by-count":11,"title":["Auricular syncope"],"prefix":"10.1017","volume":"122","author":[{"given":"A","family":"Thakar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K K","family":"Deepak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Shyam Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,10,12]]},"reference":[{"key":"S0022215107000758_ref3","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880210136018"},{"key":"S0022215107000758_ref2","first-page":"1","volume-title":"Scott-Brown's Diseases of the Ear, Nose and Throat","volume":"1","author":"Ballantyne","year":"1979"},{"key":"S0022215107000758_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2005.05.025"},{"key":"S0022215107000758_ref1","first-page":"249","article-title":"Neurally-mediated syncope","volume":"6","author":"Brignole","year":"2005","journal-title":"Ital Heart J"},{"key":"S0022215107000758_ref4","first-page":"253","article-title":"A clinico-anatomic study of the auricular branch of the vagus nerve and Arnold's ear-cough reflex","volume":"20","author":"Tekdemir","year":"1998","journal-title":"Surg Radiol Anat"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215107000758","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T22:25:06Z","timestamp":1556663106000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215107000758\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10,12]]},"references-count":5,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["S0022215107000758"],"URL":"https:\/\/doi.org\/10.1017\/s0022215107000758","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,10,12]]}}}