TAILIEUCHUNG - báo cáo khoa học: "A new predisposing factor for trigemino-cardiac reflex during subdural empyema drainage: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A new predisposing factor for trigemino-cardiac reflex during subdural empyema drainage: a case report | Spiriev et al. Journal of Medical Case Reports 2010 4 391 http content 4 1 391 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access A new predisposing factor for trigemino-cardiac reflex during subdural empyema drainage a case report I ws s c i ri 1 2M fs r c r I I2 3 D s I I A I A r p r 2 4 c I I r IX I síí1 X rl I -jn t1 r c z I I f r2 4 loma spiriev Nora sandu Belacnew Arasno Slavomir Konaorr Cnrisio izeKOv Bernnard scnaller Trigemino-Cardiac Reflex Examination Group TCREG 1 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. Introduction For more than a century it has been well known that electrical chemical or mechanical stimulation of the trigeminal nerve leads to trigemino-respiratory reflexes followed by cardiac arrhythmias 1 . In the early 20th century this phenomenon gained increased clinical attention in the form of the oculocardiac .

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