Simpson R K, Pool J L, Grossman R G, Rose J E, Taylor A A
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.
J Neurosurg. 1987 Nov;67(5):757-9. doi: 10.3171/jns.1987.67.5.0757.
Carotid sinus hypersensitivity (CSH) can cause severe bradycardia, hypotension, asystole, and cardiac arrest. Three patients with the combined (mixed) cardioinhibitory and vasodepressor form of CSH were studied with intensive cardiovascular monitoring. After medical management failed, the patients were successfully treated by transection of the glossopharyngeal nerve and upper rootlets of the vagus nerve at their exit from the brain stem. Methods of diagnosis of CSH, and the benefits and limitations of medical and surgical therapies are discussed.
颈动脉窦过敏（CSH）可导致严重心动过缓、低血压、心搏停止和心脏骤停。对3例合并（混合）心抑制和血管减压型CSH患者进行了强化心血管监测研究。在药物治疗失败后，通过在舌咽神经和迷走神经从脑干发出处切断舌咽神经和迷走神经上根成功治疗了这些患者。本文讨论了CSH的诊断方法以及药物和手术治疗的益处与局限性。
