TRIGEMINO-CARDIAC REFLEX DURING SKULL-BASE NEUROSURGERIES: A CASE REPORT

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

KHAJAVI MOHAMMAD REZA; ORANDI AMIRALI; POURFAKHR PEJMAN; ETEZADI FARHAD

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2013 | Volume:71 | Issue:8 Page(s): 546-549

Download Full-Text

Persian Verion

View:

862

Download:

Cites:

Information Journal Paper

Title

TRIGEMINO-CARDIAC REFLEX DURING SKULL-BASE NEUROSURGERIES: A CASE REPORT

Author(s)

KHAJAVI MOHAMMAD REZA | ORANDI AMIRALI | POURFAKHR PEJMAN | ETEZADI FARHAD | Issue Writer Certificate

Keywords

ANESTHESIAQ2

TRIGEMINO-CARDIAC REFLEXQ2

SKULL BASE NEUROSURGERYQ3

Abstract

Background: The TRIGEMINO-CARDIAC REFLEX (TCR) has been studied as a phenomenon including; bradycardia, arterial hypotension, apnea and gastric hypermotility during manipulation of the peripheral or central parts of the trigeminal nerve.Case presentation: We report a case of a 26-year-old man undergoing surgery for a skull base extra axial tumor in right petrous bone suspected to metastasis of a previous renal cell carcinoma which had been treated four years ago. The patient presented with continuous and unilateral headache and difficulty in swallowing, sensory neural hearing loss, nasal speech and tongue deviation to left side. He underwent general ANESTHESIA with standard monitoring and total intravenous anesthetic technique. The first episode of sudden onset bradycardia and hypotension related to surgical manipulation was detected intraoperatively in which the heart rate spontaneously returned to normal level once the surgical manipulation stopped. However, it repeated several times by beginning of tumor resection and manipulation in the region of trigeminal nerve. The intensity of bradycardia in subsequent episodes of TCR was relatively crescendo and had no fatigability. Finally, it was treated by administration of a single dose of atropine (0.5mg/IV) and did not happen again.Conclusion: The risk of TCR should be considered in any neurosurgical intervention involving trigeminal nerve and its branches, especially at the skull base surgeries. The vigilance of the medical team and continuous intraoperative hemodynamic monitoring alerts the surgeons to interrupt surgical maneuvers upon the TCR occurrence, immediately.

Cites

RISK FACTORS OF BRADYCARDIA IN 50 CASES OF GASTRIC SURGERY UNDER GENERAL ANESTHESIA

References

No record.

Cite

APA: Copy

KHAJAVI, MOHAMMAD REZA, ORANDI, AMIRALI, POURFAKHR, PEJMAN, & ETEZADI, FARHAD. (2013). TRIGEMINO-CARDIAC REFLEX DURING SKULL-BASE NEUROSURGERIES: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 71(8), 546-549. SID. https://sid.ir/paper/38673/en

Vancouver: Copy

KHAJAVI MOHAMMAD REZA, ORANDI AMIRALI, POURFAKHR PEJMAN, ETEZADI FARHAD. TRIGEMINO-CARDIAC REFLEX DURING SKULL-BASE NEUROSURGERIES: A CASE REPORT. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2013;71(8):546-549. Available from: https://sid.ir/paper/38673/en

IEEE: Copy

MOHAMMAD REZA KHAJAVI, AMIRALI ORANDI, PEJMAN POURFAKHR, and FARHAD ETEZADI, “TRIGEMINO-CARDIAC REFLEX DURING SKULL-BASE NEUROSURGERIES: A CASE REPORT,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 71, no. 8, pp. 546–549, 2013, [Online]. Available: https://sid.ir/paper/38673/en

Related Journal Papers