Fachinetti P, Bellocchi S, Dorizzi A, Forgione F N
Neurosurgery Unit, General Hospital of Varese, Italy.
J Neurosurg Sci. 1998 Dec;42(4):189-93.
The Carotid Sinus Syndrome (CSS) is a rare condition causing spontaneous syncopal attacks or marked dizziness.
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.
At a mean follow-up of 30 months no patient submitted to CSD had recurrent syncopal attacks or dizziness.
CSD is a safe and simple technique to abolish either the cardioinhibitory or the vasodepressor response in CSS.
颈动脉窦综合征（CSS）是一种导致自发性晕厥发作或明显头晕的罕见病症。
我们研究了1991年1月至1996年10月期间28例CSS患者。11例心脏抑制型患者接受了起搏器（PM）植入治疗。17例为混合型，除1例拒绝任何治疗外，其余均进入本研究。10例PM治疗后仍有症状的患者中有2例首先进行了颈动脉窦去神经支配术（CSD），6例患者将CSD作为首选治疗方法。
平均随访30个月，接受CSD治疗的患者均未出现复发性晕厥发作或头晕。
CSD是一种安全、简单的技术，可消除CSS中的心脏抑制或血管减压反应。
