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Journal of Neurosurgical Sciences 1998 Dicembre;42(4):189-93

lingua: Inglese

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


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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.

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