Trigemino-cardiac reflex: occurrence of asystole during trans-sphenoidal adenomectomy: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 209-212, 2014.
Article
ي En
| WPRIM
| ID: wpr-175782
المكتبة المسؤولة:
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.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Pituitary Neoplasms
/
Cavernous Sinus
/
Cerebellopontine Angle
/
Trigeminal Ganglion
/
Risk Factors
/
Reflex, Trigeminocardiac
/
Heart Arrest
نوع الدراسة:
Etiology_studies
/
Risk_factors_studies
المحددات:
Adult
/
Female
/
Humans
اللغة:
En
مجلة:
Korean Journal of Anesthesiology
السنة:
2014
نوع:
Article