Asystole during microvascular decompression in case of trigeminal neuralgia -A case report-
Anesthesia and Pain Medicine 2014³â 9±Ç 1È£ p.58 ~ p.60
À̼ö¿¬(Lee Su-Yeon) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
Àü´öÈñ(Chun Duk-Hee) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
ÀÌűÔ(Lee Tae-Kyu) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
±è¹Î¿µ(Kim Min-Young) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
¹Ú¼ö¿¬(Park Soo-Yeun) - CHA University CHA Bundang Medical Center Department of Anesthesiology and Pain Medicine
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
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Microvascular decompression, Trigeminal neuralgia, Trigemino-cardiac reflex
KMID :
1155520140090010058
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