Trigemino-cardiac reflex: occurrence of asystole during trans-sphenoidal adenomectomy: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 209-212, 2014.
Article
em En
| WPRIM
| ID: wpr-175782
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Neoplasias Hipofisárias
/
Seio Cavernoso
/
Ângulo Cerebelopontino
/
Gânglio Trigeminal
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Fatores de Risco
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Reflexo Trigêmino-Cardíaco
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Parada Cardíaca
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
Idioma:
En
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2014
Tipo de documento:
Article