{"id":"https://openalex.org/W4412371379","doi":"https://doi.org/10.7759/cureus.87813","title":"A Strategy for When Two Rare Entities Strike at Once: Carotid Artery Dissection With Carotid Sinus Hypersensitivity and Syndrome","display_name":"A Strategy for When Two Rare Entities Strike at Once: Carotid Artery Dissection With Carotid Sinus Hypersensitivity and Syndrome","publication_year":2025,"publication_date":"2025-07-13","ids":{"openalex":"https://openalex.org/W4412371379","doi":"https://doi.org/10.7759/cureus.87813","pmid":"https://pubmed.ncbi.nlm.nih.gov/40799899"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.87813","doi":"https://doi.org/10.7759/cureus.87813","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.87813","pdf_url":"https://www.cureus.com/articles/351532-a-strategy-for-when-two-rare-entities-strike-at-once-carotid-artery-dissection-with-carotid-sinus-hypersensitivity-and-syndrome.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/351532-a-strategy-for-when-two-rare-entities-strike-at-once-carotid-artery-dissection-with-carotid-sinus-hypersensitivity-and-syndrome.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Hassan Ur Rehman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I172622728","display_name":"University Hospitals of Morecambe Bay NHS Foundation Trust","ror":"https://ror.org/05cxwhm03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I172622728"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Hassan Ur Rehman","raw_affiliation_strings":["Internal Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR","institution_ids":["https://openalex.org/I172622728"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024093598","display_name":"Adrienne A Jonathan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I172622728","display_name":"University Hospitals of Morecambe Bay NHS Foundation Trust","ror":"https://ror.org/05cxwhm03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I172622728"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Adrienne A Jonathan","raw_affiliation_strings":["Internal Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR","institution_ids":["https://openalex.org/I172622728"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Sadia Haroon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802635630","display_name":"University Hospital Galway","ror":"https://ror.org/04scgfz75","country_code":"IE","type":"healthcare","lineage":["https://openalex.org/I2800263200","https://openalex.org/I2802635630","https://openalex.org/I37076085","https://openalex.org/I4210128306","https://openalex.org/I4210136517"]}],"countries":["IE"],"is_corresponding":false,"raw_author_name":"Sadia Haroon","raw_affiliation_strings":["Cardiology, University Hospital Galway, Galway, IRL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Cardiology, University Hospital Galway, Galway, IRL","institution_ids":["https://openalex.org/I2802635630"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Soha Mahran","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I172622728","display_name":"University Hospitals of Morecambe Bay NHS Foundation Trust","ror":"https://ror.org/05cxwhm03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I172622728"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Soha Mahran","raw_affiliation_strings":["Internal Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR","institution_ids":["https://openalex.org/I172622728"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5118966660","display_name":"Kamil Betkowski","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I172622728","display_name":"University Hospitals of Morecambe Bay NHS Foundation Trust","ror":"https://ror.org/05cxwhm03","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I172622728"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kamil Betkowski","raw_affiliation_strings":["Radiology, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Radiology, University Hospitals of Morecambe Bay NHS Foundation Trust, Lancaster, GBR","institution_ids":["https://openalex.org/I172622728"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.5906,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.67867164,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":96},"biblio":{"volume":"17","issue":"7","first_page":"e87813","last_page":"e87813"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11950","display_name":"Cardiovascular Syncope and Autonomic Disorders","score":0.006500000134110451,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13543","display_name":"Oropharyngeal Anatomy and Pathologies","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/carotid-artery-dissection","display_name":"carotid artery dissection","score":0.9990000128746033},{"id":"https://openalex.org/keywords/carotid-sinus-syndrome","display_name":"carotid sinus syndrome","score":0.7850000262260437},{"id":"https://openalex.org/keywords/middle-cerebral-artery-infarction","display_name":"middle cerebral artery infarction","score":0.9150000214576721},{"id":"https://openalex.org/keywords/syncope","display_name":"syncope","score":0.746999979019165},{"id":"https://openalex.org/keywords/bradycardia","display_name":"bradycardia","score":0.9779999852180481},{"id":"https://openalex.org/keywords/hypotension","display_name":"hypotension","score":0.9850000143051147},{"id":"https://openalex.org/keywords/carotid-sinus-massage","display_name":"carotid sinus massage","score":0.9079999923706055},{"id":"https://openalex.org/keywords/permanent-pacemaker","display_name":"permanent pacemaker","score":0.8930000066757202},{"id":"https://openalex.org/keywords/autonomic-dysfunction","display_name":"autonomic dysfunction","score":0.9760000109672546},{"id":"https://openalex.org/keywords/stroke-management","display_name":"stroke management","score":0.4490000009536743}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9787949919700623},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.6121978163719177},{"id":"https://openalex.org/C2987047532","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Carotid arteries","level":2,"score":0.5393045544624329},{"id":"https://openalex.org/C2779582425","wikidata":"https://www.wikidata.org/wiki/Q3030636","display_name":"Carotid artery dissection","level":3,"score":0.45979711413383484},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.44229748845100403},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.38329026103019714},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3210122883319855},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C157369684","wikidata":"https://www.wikidata.org/wiki/Q34740","display_name":"Genus","level":2,"score":0.0},{"id":"https://openalex.org/C59822182","wikidata":"https://www.wikidata.org/wiki/Q441","display_name":"Botany","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.87813","doi":"https://doi.org/10.7759/cureus.87813","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.87813","pdf_url":"https://www.cureus.com/articles/351532-a-strategy-for-when-two-rare-entities-strike-at-once-carotid-artery-dissection-with-carotid-sinus-hypersensitivity-and-syndrome.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmid:40799899","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40799899","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"},{"id":"pmh:oai:pubmedcentral.nih.gov:12340729","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12340729","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Cureus","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.7759/cureus.87813","doi":"https://doi.org/10.7759/cureus.87813","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.87813","pdf_url":"https://www.cureus.com/articles/351532-a-strategy-for-when-two-rare-entities-strike-at-once-carotid-artery-dissection-with-carotid-sinus-hypersensitivity-and-syndrome.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4412371379.pdf","grobid_xml":"https://content.openalex.org/works/W4412371379.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1867760326","https://openalex.org/W1985213058","https://openalex.org/W2045205524","https://openalex.org/W2053126260","https://openalex.org/W2105583547","https://openalex.org/W2147828535","https://openalex.org/W2159917957","https://openalex.org/W2237121518","https://openalex.org/W2331626549","https://openalex.org/W2334186081","https://openalex.org/W2790615343","https://openalex.org/W3047939314","https://openalex.org/W3083620093","https://openalex.org/W4229493543","https://openalex.org/W4230734070","https://openalex.org/W4248756187","https://openalex.org/W4255683973","https://openalex.org/W4368353681"],"related_works":["https://openalex.org/W4308834945","https://openalex.org/W2775851527","https://openalex.org/W2118714094","https://openalex.org/W2904258964","https://openalex.org/W1990867840","https://openalex.org/W1967664165","https://openalex.org/W3001977906","https://openalex.org/W4393231297","https://openalex.org/W4412521750","https://openalex.org/W4252893841"],"abstract_inverted_index":{"Carotid":[0],"artery":[1,41,62],"dissection":[2,63,92],"involving":[3],"the":[4,17,33,66,78,87],"sinus":[5,56,103],"region":[6],"can":[7],"lead":[8],"to":[9,54,89,100],"both":[10],"neurologic":[11],"and":[12,50,99],"cardiovascular":[13,75],"complications.":[14],"We":[15],"present":[16],"case":[18,85],"of":[19,80,108],"a":[20,60,81,106],"previously":[21],"healthy,":[22],"middle-aged":[23],"man":[24],"with":[25,36],"no":[26],"known":[27],"risk":[28],"factors":[29],"who":[30],"arrived":[31],"at":[32],"Emergency":[34],"Department":[35],"an":[37],"acute":[38],"middle":[39],"cerebral":[40],"infarct.":[42],"During":[43],"hospitalisation,":[44],"he":[45],"developed":[46],"recurrent":[47],"syncope,":[48],"bradycardia,":[49],"hypotension":[51],"-":[52],"unresponsive":[53],"carotid":[55,61,67,91,102],"massage.":[57],"Imaging":[58],"confirmed":[59],"extending":[64],"into":[65],"sinus.":[68],"While":[69],"stroke":[70,94],"management":[71],"was":[72],"initiated,":[73],"ongoing":[74],"instability":[76],"required":[77],"placement":[79],"permanent":[82],"pacemaker.":[83],"This":[84],"emphasises":[86],"need":[88],"consider":[90],"in":[93],"patients":[95],"without":[96],"typical":[97],"comorbidities,":[98],"recognise":[101],"involvement":[104],"as":[105],"cause":[107],"severe":[109],"autonomic":[110],"dysfunction.":[111]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
