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JOURNAL OF NEUROSURGICAL SCIENCES
A Journal on Neurosurgery
Indexed/Abstracted in: e-psyche, EMBASE, PubMed/MEDLINE, Neuroscience Citation Index, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,651
Journal of Neurosurgical Sciences 1998 December;42(4):189-93
Carotid Sinus Syndrome: a review of the literature and our experience using carotid sinus denervation
Fachinetti P. 1, Bellocchi S. 1, Dorizzi A. 1, Forgione F. N. 2
1 Neurosugery Unit, General Hospital of Varese, Italy;
2 Cardiology Unit, General Hospital of Varese, Italy
Background. The Carotid Sinus Syndrome (CSS) is a rare condition causing spontaneous syncopal attacks or marked dizziness.
Methods. We studied 28 patients affected by CSS from January 1991 to October 1996. Eleven patients affected by cardioinhibitory type were treated by pace-maker (PM) implant. Seventeen patients had mixed type and all, but one who refused any treatment, entered this study. Carotid Sinus Denervation (CSD) was first performed in 2 of 10 patients who remained symptomatic after PM and in 6 patients as first choice therapy.
Results. At a mean follow-up of 30 months no patient submitted to CSD had recurrent syncopal attacks or dizziness.
Conclusions. CSD is a safe and simple technique to abolish either the cardioinhibitory or the vasodepressor response in CSS.