Korean J Anesthesiol Search


Korean Journal of Anesthesiology 2008;54(2):220-224.
DOI: https://doi.org/10.4097/kjae.2008.54.2.220   
Asystole via Trigeminocardiac Reflex during Skin Flap Elevation in a Patient Undergoing Craniotomy for Cerebral Aneurysm Clipping: A case report.
Ji Yeon Kim, Jang Su Park, Dong Jin Baek, Sang Il Lee, Kyung Tae Kim, Won Joo Choe, Jung Won Kim
Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University Collge of Medicine, Goyang, Korea. jspark@ilsanpaik.ac.kr
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.
Key Words: asystole; bradycardia; craniotomy; hypotension; trigeminocardiac reflex


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next