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KMID : 0356920080540020220
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Korean Journal of Anesthesiology
2008 Volume.54 No. 2 p.220 ~ p.224
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stole via Trigeminocardiac Reflex during Skin Flap Elevation in a Patient Undergoing Craniotomy for Cerebral Aneurysm Clipping
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Kim Ji-Yeon
Park Jang-Su
Baek Dong-Jin
Lee Sang-Ill
Kim Kyoung-Tea
Choi Won-Joo
Kim Jeong-Won
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Abstract
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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.
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KEYWORD
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asystole, bradycardia, craniotomy, hypotension, trigeminocardiac reflex
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