Asystole during microvascular decompression in case of trigeminal neuralgia: A case report.
- Author:
Su Yeon LEE
1
;
Duk Hee CHUN
;
Taekyu LEE
;
Min young KIM
;
Soo yeun PARK
Author Information
1. Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. leah1013@chamc.co.kr
- Publication Type:Case Report
- Keywords:
Microvascular decompression;
Trigeminal neuralgia;
Trigemino-cardiac reflex
- MeSH:
Blood Pressure;
Bradycardia;
Heart Arrest*;
Humans;
Microvascular Decompression Surgery*;
Reflex, Trigeminocardiac;
Trigeminal Nerve;
Trigeminal Neuralgia*
- From:Anesthesia and Pain Medicine
2014;9(1):58-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
Manipulation of the sensory branches of the trigeminal nerve is known to cause autonomic changes, such as bradycardia or asystole, known as the trigemino-cardiac reflex. In this case, the patient underwent microvascular decompression due to trigeminal neuralgia and developed sudden bradycardia, followed by abrupt asystole with a concurrent fall in the systolic blood pressure. There was spontaneous return of cardiac rhythm and blood pressure, but two more episodes of sinus bradycardia occurred during the surgery.
