Trigeminocardiac reflex in embolization of intracranial dural arteriovenous fistula
- PMID: 17885228
- PMCID: PMC8134204
- DOI: 10.3174/ajnr.A0675
Trigeminocardiac reflex in embolization of intracranial dural arteriovenous fistula
Abstract
We report a case of immediate reproducible and reflexive response of asystole upon stimulation of Onyx injection during embolization of a tentorial dural arteriovenous fistula in a 53-year-old man. Upon recognition of the reflexive relationship between Onyx injection and increased vagal tone, the patient was given anticholinergic in an effort to block cholinergic hyperactivity. After atropine was given, no further dysrhythmias occurred.
Comment in
-
Trigeminocardiac reflex in embolization of intracranial dural arteriovenous fistula.AJNR Am J Neuroradiol. 2008 Aug;29(7):E55. doi: 10.3174/ajnr.A1072. Epub 2008 Mar 27. AJNR Am J Neuroradiol. 2008. PMID: 18372414 Free PMC article. No abstract available.
References
-
- David F, Bawer BA, Youkilis A, et al. The falcine trigeminocardiac reflex: case report and review of the literature. Surg Neurol 2005;63:143–48 - PubMed
-
- Panneton WM, Yavari P. A medullary dorsal horn relay for the cardiorespiratory response evoked by stimulation of the nasal mucosa in the muskrat Ondatra zibethicus: evidence for excitatory amino acid transmission. Brain Res 1995;691:37–45 - PubMed
-
- Schaller B, Probster R, Strebal S, et al. Trigemino-cardiac reflex during surgery in the cerebellopontine angle. J Neurosurg 1999;90:215–20 - PubMed
-
- Schaller B. Trigemino-cardiac reflex during transsphenoidal surgery for pituitary adenomas. Clin Neurol and Neurosurg 2005;107:468–74 - PubMed
-
- Pamuk AG, Sactci I, Cekirge HS, et al. A contribution to the controversy over dimethyl sulfoxide toxicity: anesthesia monitoring results in patients treated with Onyx embolization for intracranial aneurysms. Neuroradiology 2005;47:380–86 - PubMed
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources