A new predisposing factor for trigemino-cardiac reflex during subdural empyema drainage: a case report

  • Spiriev T
  • Sandu N
  • et al.
N/ACitations
Citations of this article
11Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

INTRODUCTION: The trigemino-cardiac reflex is defined as the sudden onset of parasympathetic dysrhythmia, sympathetic hypotension, apnea, or gastric hypermotility during stimulation of any of the sensory branches of the trigeminal nerve. Clinically, trigemino-cardiac reflex has been reported to occur during neurosurgical skull-base surgery. Apart from the few clinical reports, the physiological function of this brainstem reflex has not yet been fully explored. Little is known regarding any predisposing factors related to the intraoperative occurrence of this reflex.CASE PRESENTATION: We report the case of a 70-year-old Caucasian man who demonstrated a clearly expressed form of trigemino-cardiac reflex with severe bradycardia requiring intervention that was recorded during surgical removal of a large subdural empyema.CONCLUSION: To the best of our knowledge, this is the first report of an intracranial infection leading to perioperative trigemino-cardiac reflex. We therefore add a new predisposing factor for trigemino-cardiac reflex to the existing literature. Possible mechanisms are discussed in the light of the relevant literature.

Cite

CITATION STYLE

APA

Spiriev, T., Sandu, N., Arasho, B., Kondoff, S., Tzekov, C., & Schaller, B. (2010). A new predisposing factor for trigemino-cardiac reflex during subdural empyema drainage: a case report. Journal of Medical Case Reports, 4(1). https://doi.org/10.1186/1752-1947-4-391

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free