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Research ArticleINTERVENTIONAL

Clinical and Electroencephalographic Features of Carotid Sinus Syncope Induced by Internal Carotid Artery Angioplasty

E. Martinez-Fernandez, F. Boza García, J.R. Gonzalez-Marcos, A. Gil Peralta, A. Gonzalez Garcia and A. Mayol Deya
American Journal of Neuroradiology February 2008, 29 (2) 269-272; DOI: https://doi.org/10.3174/ajnr.A0823
E. Martinez-Fernandez
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F. Boza García
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J.R. Gonzalez-Marcos
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A. Gil Peralta
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A. Gonzalez Garcia
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A. Mayol Deya
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    Table 1:

    General characteristics of the study participants

    CharacteristicsStudy Participants (n = 359)
    Demographic data
        Age, years63.2; 9.1
        Male281 (78.3%)
    Vascular risk factors
        Hypertension226 (63%)
        Diabetes mellitus143 (39.8%)
        Dyslipidemia158 (44%)
        Smoking habits176 (49%)
        Ischemic heart disease105 (29.3%)
        Peripheral arterial disease104 (29%)
    Carotid plaque
        Grade (%) of stenosis87.8; 8.6
        Symptomatic stenosis313 (87.2%)
    Procedures
        Stent205 (57.4%)
        Distal protection device55 (15.3%)
    • View popup
    Table 2:

    Convulsive movements occurring during syncope

    Convulsive Movements (n = 81)
    Absence of convulsive movements17 (21%)
    Convulsive movements*64 (79%)
        Tonic spasm38 (46.9%)
            Bilateral37 (45.6%)
            Unilateral1 (1.2%)
        Myoclonic jerks18 (22.2%)
            Bilateral10 (12.3%)
            Unilateral8 (9.8%)
        Oculocephalic conjugate deviation14 (17.2%)
        Flexion forced spasm12 (14.8%)
    • * Eighteen patients showed 2 types of convulsive movements.

    • View popup
    Table 3:

    EEG changes occurring during syncope

    Type of SyncopeNo. (%)EEG Changes
    SSFS
    Cardioinhibitory61 (75.3)2437
    Vasodepressor/mixed7 (8.6)43
    Not related to asystole/hypotension13 (16)121
    Total81 (100)40 (49.4%)41 (50.6%)
    • Note:—S indicates slowing; SFS, slowing-flattening-slowing.

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    Table 4:

    Cerebral hemodynamic differences among patients with syncope of different type

    Hemodynamic DifferencesNot Related to Asystole/Hypotension (n = 10)Cardioinhibitory/Vasodepressor/Mixed (n = 56)P
    Contralateral ICA stenosis ≥70%7 (70%)22 (40%).2
    Abnormal cerebral vasoreactivity6 (60%)9 (16%).04
    Nonfunctioning AcomA6 (60%)17 (30.4%).07
    Nonfunctioning PcomA7 (77.8%)31 (58.5%).23
    Nonfunctioning AcomA plus nonfunctioning PcomA5 (50%)10 (18.5%).03
    • Note:—AcomA indicates anterior communicating artery; PcomA, posterior communicating artery; ICA, internal carotid artery.

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American Journal of Neuroradiology: 29 (2)
American Journal of Neuroradiology
Vol. 29, Issue 2
February 2008
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Cite this article
E. Martinez-Fernandez, F. Boza García, J.R. Gonzalez-Marcos, A. Gil Peralta, A. Gonzalez Garcia, A. Mayol Deya
Clinical and Electroencephalographic Features of Carotid Sinus Syncope Induced by Internal Carotid Artery Angioplasty
American Journal of Neuroradiology Feb 2008, 29 (2) 269-272; DOI: 10.3174/ajnr.A0823

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Clinical and Electroencephalographic Features of Carotid Sinus Syncope Induced by Internal Carotid Artery Angioplasty
E. Martinez-Fernandez, F. Boza García, J.R. Gonzalez-Marcos, A. Gil Peralta, A. Gonzalez Garcia, A. Mayol Deya
American Journal of Neuroradiology Feb 2008, 29 (2) 269-272; DOI: 10.3174/ajnr.A0823
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  • Carotid Artery Stenting–Induced Hemodynamic Instability
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    Journal of Endovascular Therapy 2013 20 1
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    Progress in Cardiovascular Diseases 2013 55 4
  • Clinical Neurophysiology: Basis and Technical Aspects
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  • The Clinical and Electroencephalographic Spectrum of Tilt-Induced Syncope and “Near Syncope” in Youth
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    Journal of Neuroscience Nursing 2010 42 1
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