Treatment of fractures of the long bones in brain stem injury.

Our patient differs from most others described in that the symptoms and E.C.G. changes were readily reproduced on swallowing, without resort to balloon dilatation of the oesophagus. In addition his syncope was a presenting symptom of oesophageal carcinoma. Since an oesophageal lesion is commonly found in patients with "swallow syncope" we suggest that a barium swallow should be performed in all patients with this syndrome, even in the absence of dysphagia.