Intra-Arterial Lidocaine Blunts the Trigeminocardiac Reflex during Endovascular Treatment of a Carotid-Cavernous Fistula. [PDF]
Carotid-cavernous fistulas (CCFs) are vascular shunts that allow blood to flow from the carotid artery or its branches into the cavernous sinus. Endovascular embolization is the treatment modality of choice. The trigeminocardiac reflex (TCR) is a vagally
Coleman RL +4 more
europepmc +3 more sources
Definition and Diagnosis of the Trigeminocardiac Reflex: A Grounded Theory Approach for an Update. [PDF]
BackgroundThe trigeminocardiac reflex (TCR) is defined as sudden onset of parasympathetic dysrhythmias including hemodynamic irregularities, apnea, and gastric hypermotility during stimulation of sensory branches of the trigeminal nerve.
Meuwly C +6 more
europepmc +4 more sources
Coronary Spasm in Neurosurgical Patients and Role of Trigeminocardiac Reflex [PDF]
Background. Coronary artery spasm (CAS) is a rarely reported complication in neurosurgical patients and its main causative mechanism was attributed to vagal mediated responses. However, these may be the unusual manifestations of trigeminal cardiac reflex
Cappellani, Ronald B. +4 more
core +5 more sources
Cardiac Emergencies in Neurosurgical Patients [PDF]
Perioperative safety concerns are a major area of interest in recent years. Severe cardiac perturbation such as cardiac arrest is one of the most dreaded complications in the intraoperative period; however, little is known about the management of these ...
Andrea Petropolis +2 more
core +4 more sources
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
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
Brain and heart connections: The trigeminocardiac reflex! [PDF]
AbstractTrigeminocardiac 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 peripheral distribution to the central nucleus.
Gyaninder P. Singh, Tumul Chowdhury
doaj +5 more sources
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
doaj +2 more sources
The Effect of Trigeminal Ganglion Block on Trigeminocardiac Reflex in Elderly Patients with Trigeminal Neuralgia Undergoing Percutaneous Balloon Compression: A Randomized Controlled Study. [PDF]
Huanhuan Zhang,1 Meinv Liu,1 Wenchang Guo,2 Jinhua He,1 Jianli Li1 1Department of Anesthesiology, Hebei General Hospital, Shijiazhuang City, Hebei Provence, People’s Republic of China; 2Department of Neurosurgery, Hebei General Hospital, Shijiazhuang ...
Zhang H, Liu M, Guo W, He J, Li J.
europepmc +2 more sources
Prevention of trigeminocardiac reflex-induced severe bradycardia during cerebral aneurysm clipping surgery by topical anesthesia of the dura surface and atropine administration: a case report. [PDF]
Background Trigeminocardiac reflex (TCR) by stimulation of the sensory branch of the trigeminal nerve induces transient bradycardia and hypotension. We report a case in which light mechanical stimulation to the dura mater during brain surgery induced ...
Yoshida A +4 more
europepmc +2 more sources

