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Open Access 01-12-2012 | Case report

Central trigeminocardiac reflex in pediatric neurosurgery: a case report and review of the literature

Authors: Toma Spiriev, Christo Tzekov, Lili Laleva, Christina Kostadinova, Slavomir Kondoff, Nora Sandu, Bernhard Schaller, For the Trigeminocardiac Reflex Examination Group (TCREG)

Published in: Journal of Medical Case Reports | Issue 1/2012

Abstract

Introduction

Trigeminocardiac reflex is a well-known phenomenon in neurosurgery, craniofacial surgery, ophthalmology and interventional neuroradiology. Even though the trigeminocardiac reflex has become an important factor in skull base surgery and neurosurgery, the central form of trigeminocardiac reflex has only been described in adult subpopulations until now.

Case presentation

We present a clear form of repetitive trigeminocardiac reflex expressed during revision surgery of a giant (110×61mm) right temporoparietal meningioma in an 18-month-old male Caucasian patient. After cessation of the surgical stimulus, his heart rate and mean arterial blood pressure returned to normal physiological levels. The further follow-up was uneventful.

Conclusion

Our case demonstrates that the central trigeminocardiac reflex also exists in pediatric patients, especially if manipulating trigeminal innervated structures or around the nerve itself. Whether the incidence and the behavior of the trigeminocardiac reflex is similar in pediatric neurosurgery compared with adult patients has to be shown in further studies.

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Title: Central trigeminocardiac reflex in pediatric neurosurgery: a case report and review of the literature
Authors: Toma Spiriev
Christo Tzekov
Lili Laleva
Christina Kostadinova
Slavomir Kondoff
Nora Sandu
Bernhard Schaller
For the Trigeminocardiac Reflex Examination Group (TCREG)
Publication date: 01-12-2012
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-6-372

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Central trigeminocardiac reflex in pediatric neurosurgery: a case report and review of the literature

Abstract

Introduction

Case presentation

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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