{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:34:10Z","timestamp":1782603250401,"version":"3.54.5"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2004,5,1]],"date-time":"2004-05-01T00:00:00Z","timestamp":1083369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2004,5]]},"abstract":"<jats:p>Burkitt's lymphoma is rare outside of Africa, and head and neck manifestations of this disease are even more uncommon. We report a case of Burkitt's lymphoma localized at the bifurcation of the right common carotid artery in a 64-year-old man. The presenting symptoms were recurrent syncopes that necessitated a pacemaker, followed by a rapid onset of cranial nerve palsies. The tumor had infiltrated cranial nerves IX, X, XI, and XII and was resected by selective neck dissection. The patient was subsequently treated with a chemotherapeutic regimen consisting of a combination of cytosine arabinoside, vincristine, ifosfamide, prednisone, and an intrathecal application of methotrexate. He also underwent external-beam irradiation of the neck. The patient has been followed up for a period of 42 months and has no evidence of recurrent disease. Repeated diagnostic testing and a coordination of multiple disciplines can speed diagnosis and therapeutic management. The current literature is reviewed and discussed.<\/jats:p>","DOI":"10.1177\/000348940411300506","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:40:52Z","timestamp":1412347252000},"page":"373-377","source":"Crossref","is-referenced-by-count":5,"title":["Recurrent Syncope as Presenting Symptom of Burkitt's Lymphoma at the Carotid Bifurcation"],"prefix":"10.1177","volume":"113","author":[{"given":"Iakovos","family":"Arapakis","sequence":"first","affiliation":[{"name":"Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milo","family":"Fradis","sequence":"additional","affiliation":[{"name":"Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f6rg","family":"Schipper","sequence":"additional","affiliation":[{"name":"Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerd J\u00fcrgen","family":"Ridder","sequence":"additional","affiliation":[{"name":"Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Maier","sequence":"additional","affiliation":[{"name":"Freiburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,5,1]]},"reference":[{"key":"bibr1-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18004619704"},{"key":"bibr2-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880020099022"},{"key":"bibr3-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5378.259"},{"key":"bibr4-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1993.01880130119019"},{"key":"bibr5-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900716"},{"key":"bibr6-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.1999.0358"},{"key":"bibr7-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(196103\/04)14:2<258::AID-CNCR2820140206>3.0.CO;2-7"},{"key":"bibr8-000348940411300506","first-page":"448","volume-title":"Tumors of the head and neck: clinical and pathological considerations","author":"Schnitzer B","year":"1979"},{"key":"bibr9-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(64)91524-7"},{"key":"bibr10-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2001.23429"},{"key":"bibr11-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(86)80060-X"},{"key":"bibr12-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19820301)49:5<1016::AID-CNCR2820490527>3.0.CO;2-H"},{"key":"bibr13-000348940411300506","first-page":"116","volume":"32","author":"Pal L","year":"1995","journal-title":"Indian J Cancer"},{"key":"bibr14-000348940411300506","first-page":"238","volume":"27","author":"Gosselin BJ","year":"1998","journal-title":"J Otolaryngol"},{"key":"bibr15-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.108202"},{"key":"bibr16-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.114308"},{"key":"bibr17-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410300313"},{"key":"bibr18-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198709000-00008"},{"key":"bibr19-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1111\/j.1834-7819.1999.tb00538.x"},{"key":"bibr20-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2001.21004"},{"key":"bibr21-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.1998.tb00293.x"},{"key":"bibr22-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1007\/BF02001007"},{"key":"bibr23-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1016\/1040-8428(92)90016-J"},{"key":"bibr24-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.2910260302"},{"key":"bibr25-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/14.11.1476"},{"key":"bibr26-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1182\/blood.V77.7.1516.1516"},{"key":"bibr27-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198207000-00017"},{"key":"bibr28-000348940411300506","doi-asserted-by":"publisher","DOI":"10.1016\/0278-2391(90)90055-7"},{"key":"bibr29-000348940411300506","first-page":"115","volume":"8","author":"Brady PA","year":"1999","journal-title":"Am J Geriatr Cardiol"}],"container-title":["Annals of Otology, Rhinology &amp; 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