Asystole via Trigeminocardiac Reflex during Skin Flap Elevation in a Patient Undergoing Craniotomy for Cerebral Aneurysm Clipping: A case report.
10.4097/kjae.2008.54.2.220
- Author:
Ji Yeon KIM
1
;
Jang Su PARK
;
Dong Jin BAEK
;
Sang Il LEE
;
Kyung Tae KIM
;
Won Joo CHOE
;
Jung Won KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University Collge of Medicine, Goyang, Korea. jspark@ilsanpaik.ac.kr
- Publication Type:Case Report
- Keywords:
asystole;
bradycardia;
craniotomy;
hypotension;
trigeminocardiac reflex
- MeSH:
Bradycardia;
Cerebellopontine Angle;
Craniotomy;
Heart Arrest;
Humans;
Hypotension;
Intracranial Aneurysm;
Reflex, Trigeminocardiac;
Skin;
Trigeminal Ganglion;
Trigeminal Nerve
- From:Korean Journal of Anesthesiology
2008;54(2):220-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The trigeminocardiac reflex (TCR) consists of the sudden development of severe bradycardia or even asystole with arterial hypotension during manipulation of branches of the trigeminal nerve. TCR can occur during craniofacial surgery, rhizolysis of the trigeminal ganglion, and tumour resection in the cerebellopontine angle. We report a case of TCR-induced asystole during skin flap elevation in a patient undergoing craniotomy for cerebral aneurysm clipping.
