The trigeminocardiac reflex (TCR) is a well-known brainstem reflex, first described in skull base and neurosurgery by the senior author in 1999, leading to reflex apnea, bradycardia, and changes of mean arterial pressure.
N. Sandu +6 more
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The protective role of lidocaine in surgeries involving trigeminal nerve manipulation: a meta-analysis of trigeminocardiac reflex prevention. [PDF]
The trigeminocardiac reflex (TCR) is activated when the trigeminal nerve is manipulated through mechanical pressure, traction, or irritation. This leads to a rapid increase in parasympathetic activity, resulting in a decrease in heart rate (HR) and blood
Al-Qiami A +6 more
europepmc +3 more sources
Brain and heart connections: The trigeminocardiac reflex! [PDF]
Trigeminocardiac reflex (TCR) is a well-established neurogenic reflex although its exact mechanism and clinical significance remain unclear. This reflex may be incited by stimulation of the trigeminal nerve anywhere along its course starting from the ...
Gyaninder P. Singh, Tumul Chowdhury
doaj +4 more sources
Trigeminocardiac reflex in bimaxillary orthognathic surgery: case review. [PDF]
The trigeminocardiac reflex (TCR) is a rare but clinically significant phenomenon characterized by bradycardia, hypotension, or asystole triggered by trigeminal nerve stimulation during maxillofacial surgery. It necessitates prompt recognition and management to ensure patient safety.
Ortiz-Peces L +7 more
europepmc +4 more sources
Percutaneous ballon compression for recurrent TN -a retrospective study of 33 cases. [PDF]
ObjectiveTo investigate the clinical efficacy of percutaneous microballoon compression in the treatment of recurrent TN.MethodsThis retrospective study included 33 patients who underwent percutaneous microballoon compression for the treatment of ...
Feng D +8 more
europepmc +3 more sources
Paroxysmal Atrial Fibrillation with Rapid Ventricular Response Following COVID-19 Nasopharyngeal Swab: A Case Report [PDF]
Nasopharyngeal (NP) swab sampling is a simple procedure that has become extremely popular in the coronavirus disease 2019 (COVID-19) era, with hundreds of million specimens collected every day.
Michele Mattia Viscusi +7 more
doaj +2 more sources
Cardiac Arrest after Connecting Negative Pressure to the Subgaleal Drain during Craniotomy Closure [PDF]
A one-year-old child operated on for arachnoid cyst in right frontoparietotemporal region had sudden bradycardia followed by cardiac arrest leading to death after connecting negative pressure to the subgaleal drain during craniotomy closure. The surgical
Dilip Kumar Kulkarni +3 more
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Analysis of the Efficacy and Prognosis of Microsurgery and Transarterial Embolization in the Treatment of High-Grade Dural Arteriovenous Fistulas. [PDF]
Objective To evaluate the surgical outcomes of microsurgical treatment and transarterial endovascular embolization for dural arteriovenous fistulas (DAVFs). Methods A retrospective analysis was conducted on 47 patients diagnosed with high‐grade DAVFs (Cognard types 2b, 2a + b, 3, 4, and 5) between June 2019 and June 2022 at Nanjing Brain Hospital ...
Qiu C +8 more
europepmc +2 more sources
Prognostic factors for trigeminocardiac reflex during cerebrovascular intervention operation
IntroductionTrigeminocardiac reflex (TCR) is a brainstem reflexive response of hemodynamic instability during surgery. Identification of risk factors relevant to TCR during cerebrovascular intervention procedures is helpful to efficiently prevent and ...
Zhaochu Sun +4 more
doaj +3 more sources
A Unique Case of Asystole Secondary to Facial Injury
Bradycardia has been reported during intraoperative settings of craniofacial, cerebropontine angle and trigeminal ganglion surgeries (Schaller et al. (2009, 1999); Parbhakar et al. (2009); Koerbel et al. (2005); Roberts et al. (1999)).
Siddharth A. Wartak +2 more
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