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Clinical and Translational Neuroscience is published by MDPI from Volume 5 Issue 2 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with SAGE.
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Technical Note

Recurrent Syncope Due to Carotid Sinus Hypersensitivity in Cerebral Atherosclerosis

by
Björn Zörner
1,2,
Jan Steffel
2,3,
Michael Linnebank
1,2 and
Alexander A Tarnutzer
1,2,*
1
Department of Neurology, University Hospital Zurich, Frauenklinikstr. 26, 8091 Zurich, Switzerland
2
University of Zurich, 8006 Zurich, Switzerland
3
Department of Cardiology, University Hospital Zurich, 8091 Zurich, Switzerland
*
Author to whom correspondence should be addressed.
Clin. Transl. Neurosci. 2018, 2(1), 9; https://doi.org/10.1177/2514183x18764788
Submission received: 17 October 2017 / Accepted: 19 February 2018 / Published: 20 March 2018

Abstract

A 62-year-old female with a history of stroke due to cerebral arteriosclerosis suffered from recurrent fainting (<10 s) provoked by rapid head movements up to four times per month for at least two years. There was no evidence of new strokes in repeated MRI and no high-grade vertebral artery stenosis on catheter angiography. Electroencephalography and cardiovascular workup were normal. Because fainting was head-position triggered, carotid massage was performed, demonstrating transient sinus arrest and carotid sinus syndrome (CSS) was diagnosed. After pacemaker implantation, episodes disappeared. Based on this case we discuss the diagnostic approach and also potential pitfalls and limitations of CSS.
Keywords: loss of consciousness; vertigo; cardiac arrhythmia; dizziness; pacemaker loss of consciousness; vertigo; cardiac arrhythmia; dizziness; pacemaker

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MDPI and ACS Style

Zörner, B.; Steffel, J.; Linnebank, M.; A Tarnutzer, A. Recurrent Syncope Due to Carotid Sinus Hypersensitivity in Cerebral Atherosclerosis. Clin. Transl. Neurosci. 2018, 2, 9. https://doi.org/10.1177/2514183x18764788

AMA Style

Zörner B, Steffel J, Linnebank M, A Tarnutzer A. Recurrent Syncope Due to Carotid Sinus Hypersensitivity in Cerebral Atherosclerosis. Clinical and Translational Neuroscience. 2018; 2(1):9. https://doi.org/10.1177/2514183x18764788

Chicago/Turabian Style

Zörner, Björn, Jan Steffel, Michael Linnebank, and Alexander A Tarnutzer. 2018. "Recurrent Syncope Due to Carotid Sinus Hypersensitivity in Cerebral Atherosclerosis" Clinical and Translational Neuroscience 2, no. 1: 9. https://doi.org/10.1177/2514183x18764788

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