뇌동맥류 결찰을 위한 개두술 중 두피판 거상 시 발생한 삼차신경 심반사에 의한 심정지

뇌동맥류 결찰을 위한 개두술 중 두피판 거상 시 발생한 삼차신경 심반사에 의한 심정지

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...

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Veröffentlicht in:Korean journal of anesthesiology 2008-02, Vol.54 (2), p.220
Hauptverfasser: 김지연, Ji Yeon Kim, 박장수, Jang Su Park, 백동진, Dong Jin Baek, 이상일, Sang Il Lee, 김경태, Kyung Tae Kim, 최원주, Won Joo Choe, 김정원, Jung Won Kim
Format: Artikel
Sprache:kor
Schlagworte:
asystole
bradycardia
craniotomy
hypotension
trigeminocardiac reflex
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Beschreibung
Zusammenfassung: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.
ISSN:2005-6419