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The work-up for such patients should include general, cardiological and otolaryngological-specific investigations.<\/jats:p>","DOI":"10.1136\/bcr-2022-250361","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T12:11:46Z","timestamp":1675771906000},"page":"e250361","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Syncope as a rare presentation of papillary thyroid cancer"],"prefix":"10.1136","volume":"16","author":[{"given":"Gani Nicholas","family":"Nuredini","sequence":"first","affiliation":[{"name":"Department of Cardiology, Newham University Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4856-3414","authenticated-orcid":false,"given":"Umar","family":"Rehman","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat Surgery, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0159-9321","authenticated-orcid":false,"given":"Miljyot Singh","family":"Sangha","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat Surgery, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros","family":"Koukkoullis","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat Surgery, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"2025082710592709000_16.2.e250361.1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1136\/pmj.79.927.55","article-title":"Unusual complications of thyroid carcinoma","volume":"79","author":"Owen","year":"2003","journal-title":"Postgrad Med J"},{"key":"2025082710592709000_16.2.e250361.2","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1002\/agm2.12165","article-title":"Expert consensus on diagnosis and treatment for elderly with thyroid diseases in China (2021)","volume":"4","author":"Liu","year":"2021","journal-title":"Aging Med (Milton)"},{"key":"2025082710592709000_16.2.e250361.3","doi-asserted-by":"crossref","first-page":"935","DOI":"10.2147\/TCRM.S3062","article-title":"Multi-Targeted approach in the treatment of thyroid cancer","volume":"4","author":"Pinchot","year":"2008","journal-title":"Ther Clin Risk Manag"},{"key":"2025082710592709000_16.2.e250361.4","article-title":"Carotid sinus syndrome in a patient with head and neck cancer: a case report","volume":"12","author":"Toscano","year":"2020","journal-title":"Cureus"},{"key":"2025082710592709000_16.2.e250361.5","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1159\/000331664","article-title":"Recurrent syncope due to esophageal squamous cell carcinoma","volume":"4","author":"Casini","year":"2011","journal-title":"Case Rep Oncol"},{"key":"2025082710592709000_16.2.e250361.6","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.1093\/eurheartj\/ehy037","article-title":"2018 ESC guidelines for the diagnosis and management of syncope","volume":"39","author":"Brignole","year":"2018","journal-title":"Eur Heart J"},{"key":"2025082710592709000_16.2.e250361.7","doi-asserted-by":"publisher","DOI":"10.1007\/BF00165610"},{"key":"2025082710592709000_16.2.e250361.8","doi-asserted-by":"crossref","DOI":"10.1016\/j.chest.2020.08.753","article-title":"Papillary thyroid cancer causing autonomic dysfunction","volume":"158","author":"Conner","year":"2020","journal-title":"Chest"},{"key":"2025082710592709000_16.2.e250361.9","first-page":"52","article-title":"Papillary thyroid cancer located in the carotid bifurcation mimicking carotid body tumor","volume":"31","author":"Korkmaz","year":"2015","journal-title":"Ulus Cerrahi Derg"},{"key":"2025082710592709000_16.2.e250361.10","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/S1530-891X(20)47398-7","article-title":"Abstract # 1033 papillary thyroid cancer as cause of nightspells","volume":"24","author":"Henderson","year":"2018","journal-title":"Endocrine Practice"},{"key":"2025082710592709000_16.2.e250361.11","doi-asserted-by":"crossref","DOI":"10.1016\/j.chest.2020.08.875","article-title":"A tight collar: a unique presentation of papillary thyroid cancer","volume":"158","author":"Gadela","year":"2020","journal-title":"Chest"},{"issue":"2_suppl","key":"2025082710592709000_16.2.e250361.12","first-page":"S1","article-title":"Clinical practice guideline: evaluation of the neck mass in adults","volume":"157","author":"Pynnonen","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025082710592709000_16.2.e250361.13","doi-asserted-by":"crossref","first-page":"557","DOI":"10.21037\/gs.2019.10.02","article-title":"The association between tumor\u2019s location and cervical lymph nodes metastasis in papillary thyroid cancer","volume":"8","author":"Zhang","year":"2019","journal-title":"Gland Surg"},{"key":"2025082710592709000_16.2.e250361.14","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-23-11-1096"},{"key":"2025082710592709000_16.2.e250361.15","unstructured":"Goyal A . 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