ArticleCureus2025
A Strategy for When Two Rare Entities Strike at Once: Carotid Artery Dissection With Carotid Sinus Hypersensitivity and Syndrome.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Carotid artery dissection involving the sinus region can lead to both neurologic and cardiovascular complications. We present the case of a previously healthy, middle-aged man with no known risk factors who arrived at the Emergency Department with an acute middle cerebral artery infarct. During hospitalisation, he developed recurrent syncope, bradycardia, and hypotension - unresponsive to carotid sinus massage. Imaging confirmed a carotid artery dissection extending into the carotid sinus. While stroke management was initiated, ongoing cardiovascular instability required the placement of a permanent pacemaker. This case emphasises the need to consider carotid dissection in stroke patients without typical comorbidities, and to recognise carotid sinus involvement as a cause of severe autonomic dysfunction.
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