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Correspondence
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Volume 340:2006 June 24, 1999 Number 25
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A Pepsi Challenge

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To the Editor: A 72-year-old man with recurrent dizziness, confusion, and syncope told an internist that cold, carbonated beverages caused him to feel strange, dizzy, and confused and might have triggered several episodes over a one-year study period. A carotid Doppler study, 24-hour Holter monitor, cranial magnetic resonance imaging scan, computed tomographic scan, and echocardiogram were unremarkable. An electroencephalogram showed diffuse slowing. Phenytoin was given but provided no improvement.

Another internist evaluated the patient's condition and ordered a treadmill exercise test and another magnetic resonance imaging scan, which were negative. A cardiologist was consulted, and the results of a tilt-table . . . [Full Text of this Article]

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