以往认为咳嗽性晕厥的病因常由长期患有慢性肺部疾病导致肺动脉高压而引起脑部损害的表现,并认为与脑血管病无关。作者报告首例患有严重脑血管病引起咳嗽性晕厥并伴有短暂性意识丧失,而无其它局部神经损害病史6个月的病人。并提出了脑血管可引起咳嗽性晕厥。患者男性,50岁,白种人,厨师,有烟酒嗜好,家族中有冠心病病史。患者于1988年初曾发生一次咳嗽性眩晕,自行恢复,并无其它症状。就医时发现双上肢血压不对称,并诊断为“锁骨下动脉盗血综合 In the past that the cause of cough syncope often due to chronic pulmonary disease caused by pulmonary hypertension caused by the performance of the brain, and that has nothing to do with cerebrovascular disease. The authors report the first patient with a severe cerebrovascular disease that developed a coughing syncope with a transient loss of consciousness and no other history of local neurological damage for 6 months. And put forward the cerebrovascular can cause cough syncope. Male patient, 50 years old, Caucasian, chef, alcoholic drinks and tobacco, family history of coronary heart disease. The patient had a coughing dizziness in early 1988, recovering on his own, with no other symptoms. Medical examination found that upper extremity blood pressure asymmetry, and diagnosed as "subclavian artery steal syndrome