Gómez Esteban J C, Boyero S, Fernández C, Sagasta A, Pérez T, Velasco F, Allue I, Lezcano E, Zarranz J J
Servicio y Cátedra de Neurología, Hospital de Cruces, Departamento de Neurosciencias, Universidad de País Vasco, Baracaldo, Vizcaya.
Neurologia. 2004 Oct;19(8):452-5.
Baroreflex failure after chemodectoma resection We present a case of baroreflex failure secondary to a unilateral injury of the glossopharyngeal nerve. The patient was operated for a left-sided chemodectoma in the carotid body. Some months after surgery she started to report presyncopal episodes exacerbated by mental stress and when standing up. During these episodes, the patient presented hypertensive crises and tachycardia. However, blood pressure was below normal ranges at rest. The diagnosis was baroreflex failure secondary to unilateral injury of the glossopharyngeal nerve. The case reported herein illustrates the fact that the presence of a bilateral injury is not essential for the occurrence of this disorder.
化学感受器瘤切除术后的压力反射衰竭 我们报告一例因舌咽神经单侧损伤继发的压力反射衰竭病例。该患者接受了左侧颈动脉体化学感受器瘤手术。术后数月，她开始报告在精神紧张和站立时加重的晕厥前发作。在这些发作期间，患者出现高血压危象和心动过速。然而，静息时血压低于正常范围。诊断为舌咽神经单侧损伤继发的压力反射衰竭。本文报告的病例说明了这样一个事实，即双侧损伤并非该疾病发生的必要条件。
