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J Neurol Neurosurg Psychiatry 1999;67:425-426 doi:10.1136/jnnp.67.4.425
  • Editorial commentary

Homeostatic effects of carotid stenosis

  1. S M OPPENHEIMER
  1. Dr S M Oppenheimer, Cerebrovascular Program, Department of Neurology, Meyer 5–185, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21205, USA. Telephone 00 1 410 502 5356; fax 00 1 410 614 9807.

    Signalling of blood pressure changes is partly the result of carotid sinus function and activity within the afferent glossopharyngeal and vagus nerves. Carotid stenosis is common and often affects the carotid bulb where the arterial baroreceptors are situated. However, little attention has been paid to the homeostatic effects of stenosis at this point. Akinola et al in this issue (pp428–32)1 compare autonomic reflexes in a group of hypertensive patients with transient …

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