Trigemino-cardiac reflex: occurrence of asystole during trans-sphenoidal adenomectomy: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 209-212, 2014.
Article
in English
| WPRIM
| ID: wpr-175782
ABSTRACT
The trigemino-cardiac reflex has been reported to occur during various craniofacial surgeries or procedures including manipulation of the trigeminal ganglion, tumor resection in the cerebellopontine angle, various facial reconstructions and trans-sphenoidal adenomectomy. Regarding risk factors during trans-sphenoidal adenomectomy, invasiveness closely related to the size of tumor and the degree of manipulation of cavernous sinus wall have been reported. We report the case of a 40-year-old female patient who had a relatively small-sized (< 10 mm) pituitary adenoma. Repetitive asystoles occurred during microscopic trans-sphenoidal operation of the wall of the cavernous sinus, which strongly suggests the importance of careful manipulation of the cavernous sinus wall. In addition to reporting this rare complication of trans-sphenoidal adenomectomy, we reviewed its clinical management by performing a literature search.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pituitary Neoplasms
/
Cavernous Sinus
/
Cerebellopontine Angle
/
Trigeminal Ganglion
/
Risk Factors
/
Reflex, Trigeminocardiac
/
Heart Arrest
Type of study:
Etiology study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2014
Type:
Article
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