Toorop R J, Scheltinga M R M, Huige M C, Luirink M R
Department of Surgery, Máxima Medical Center (MMC), Veldhoven, The Netherlands.
Auton Neurosci. 2007 May 30;133(2):175-7. doi: 10.1016/j.autneu.2006.12.001. Epub 2007 Feb 8.
The carotid sinus syndrome (CSS) is characterized by repetitive syncope due to prolonged heart rate slowing or a profound drop in systolic blood pressure. CSS is due to an inappropriate response of a hypersensitive carotid sinus following pressure on or stretching of the neck. We report on a patient with excessive gagging and vomiting elicited by pressure on the right side of the neck as an aberrant presentation of the carotid sinus syndrome. Her incapacitating symptoms were abolished by a surgical carotid denervation.
颈动脉窦综合征(CSS)的特征是由于心率长时间减慢或收缩压显著下降而反复出现晕厥。CSS是由于颈部受压或伸展后,高敏的颈动脉窦出现不适当反应所致。我们报告一例患者,其颈部右侧受压引发过度 gagging 和呕吐,这是颈动脉窦综合征的一种异常表现。通过手术切除颈动脉神经,其失能症状得以消除。 (注:原文中“gagging”这个词有误,可能是“ gagging sensation”即“恶心感”的误写,翻译时按推测处理了,若有误请指出)