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KMID : 1155520140090010058
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Anesthesia and Pain Medicine
2014 Volume.9 No. 1 p.58 ~ p.60
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Asystole during microvascular decompression in case of trigeminal neuralgia -A case report-
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Lee Su-Yeon
Chun Duk-Hee
Lee Tae-Kyu
Kim Min-Young
Park Soo-Yeun
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Abstract
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Manipulation of the sensory branches of the trigeminal nerve is known to cause autonomic changes, such as bradycardia or asystole, known as the trigemino-cardiac reflex. In this case, the patient underwent microvascular decompression due to trigeminal neuralgia and developed sudden bradycardia, followed by abrupt asystole with a concurrent fall in the systolic blood pressure. There was spontaneous return of cardiac rhythm and blood pressure, but two more episodes of sinus bradycardia occurred during the surgery
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KEYWORD
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Microvascular decompression, Trigeminal neuralgia, Trigemino-cardiac reflex
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