Anesth Pain Med.  2014 Jan;9(1):58-60.

Asystole during microvascular decompression in case of trigeminal neuralgia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. leah1013@chamc.co.kr
  • 2Department of Anesthesiology and Pain Medicine, CHA Gangnam Medical Center, CHA University, Seoul, Korea.

Abstract

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.

Keyword

Microvascular decompression; Trigeminal neuralgia; Trigemino-cardiac reflex

MeSH Terms

Blood Pressure
Bradycardia
Heart Arrest*
Humans
Microvascular Decompression Surgery*
Reflex, Trigeminocardiac
Trigeminal Nerve
Trigeminal Neuralgia*
Full Text Links
  • APM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr