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Clinical Neuroradiology
Published in: Clinical Neuroradiology 3/2016

01-09-2016 | Correspondence

Trigeminocardiac Reflex During the Endovascular Treatment of Intracranial Vascular Disease: A Report of Two Cases

Authors: W - Z Zhou, G . H . Yang, S . C . Jung, D . H . Lee

Published in: Clinical Neuroradiology | Issue 3/2016

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Excerpt

Trigeminocardiac reflex (TCR) has been described as a physiological response that features sinus bradycardia, hypotension, apnea, and gastric hypermotility that results from stimulation of any of the sensory branches of the trigeminal nerve or trigeminal ganglion [1]. Although TCR is a well-understood issue for skull base surgery, the first case in neurovascular intervention was reported until 2007 and it is not fully discussed in the literature [2]. Recently, we experienced two cases of TCR during neurovascular interventions, which were caused by either an unusual or usual etiology. Additionally, we briefly review the TCR cases associated with neurovascular intervention reported in the medical literature. …
Literature
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Lv X, Li Y, Jiang C, Wu Z. The incidence of trigeminocardiac reflex in endovascular treatment of dural arteriovenous fistula with onyx. Interv Neuroradiol. 2010;16(1):59–63.PubMedPubMedCentral
2.
Lv X, Li Y, Lv M, Liu A, Zhang J, Wu Z. Trigeminocardiac reflex in embolization of intracranial dural arteriovenous fistula. AJNR Am J Neuroradiol. 2007;28(9):1769–70.CrossRefPubMed
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Mohan S, Flis DW, O’Leary MA. A case of trigeminocardiac reflex during infrastructure maxillectomy. JAMA Otolaryngol Head Neck Surg. 2014;140(6):563-4.
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Schaller B, Probst R, Strebel S, Gratzl O. Trigeminocardiac reflex during surgery in the cerebellopontine angle. J Neurosurg. 1999;90(2):215–20.CrossRefPubMed
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Amiridze N, Zoarski G, Darwish R, Obuchowski A, Solovevchic N. Embolization of a cavernous sinus dural arteriovenous fistula with Onyx via direct puncture of the cavernous sinus through the superior orbital fissure: asystole resulting from the trigeminocardiac reflex. A case report. Interv Neuroradiol. 2009;15(2):179–84.PubMedPubMedCentral
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Amiridze N, Darwish R. Hemodynamic instability during treatment of intracranial dural arteriovenous fistula and carotid cavernous fistula with Onyx: preliminary results and anesthesia considerations. J Neurointerv Surg. 2009;1(2):146–50.CrossRefPubMed
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Ong CK, Ong MT, Le K, Power MA, Wang LL, Lam DV, Parkinson RJ, Wenderoth JD. The trigeminocardiac reflex in Onyx embolisation of intracranial dural arteriovenous fistula. J Clin Neurosci. 2010;17(10):1267–70.CrossRefPubMed
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Potti TA, Gemmete JJ, Pandey AS, Chaudhary N. Trigeminocardiac reflex during the percutaneous injection of ethylene vinyl alcohol copolymer (Onyx) into a juvenile nasopharyngeal angiofibroma: a report of two cases. J Neurointerv Surg. 2011;3(3):263–5.CrossRefPubMed
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Puri AS, Thiex R, Zarzour H, Rahbar R, Orbach DB. Trigeminocardiac reflex in a child during pre-Onyx DMSO injection for juvenile nasopharyngeal angiofibroma embolization. A case report. Interv Neuroradiol. 2011;17(1):13–6.PubMedPubMedCentral
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Li C, Yang X, Li Y, Jiang C, Wu Z. Endovascular treatment of intracranial dural arteriovenous fistulas presenting with intracranial hemorrhage in 46 consecutive patients: with emphasis on transarterial embolization with Onyx. Clin Neuroradiol. 2014 Dec 13. [Epub ahead of print]
Metadata
Title
Trigeminocardiac Reflex During the Endovascular Treatment of Intracranial Vascular Disease: A Report of Two Cases
Authors
W - Z Zhou
G . H . Yang
S . C . Jung
D . H . Lee
Publication date
01-09-2016
Publisher
Springer Berlin Heidelberg
Published in
Clinical Neuroradiology / Issue 3/2016
Print ISSN: 1869-1439
Electronic ISSN: 1869-1447
DOI
https://doi.org/10.1007/s00062-015-0491-y

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