Volume : VIII, Issue : II, February - 2018

TRIGEMINO-CARDIAC REFLEX IN VESTIBULAR SCHWANNOMA SURGERY

Lotfi Boublata

Abstract :

 

Introduction:

The appearance of adycardia followed by a drop in mean arterial pressure during vestibular schwannoma surgery may affect the quality of resection of this benign tumor. This phenomenon is currently called Trigeminocardiac reflex (TCR).

Method:

We retrospectively reviewed the case histories of 260 patients who underwent vestibular schwannomas surgery performed at the Neurosurgical department of Ali Ait Idir university hospital, Algiers, Algeria, and were evaluated retrospectively for the occurrence of the TCR.

Results:

Fourteen patients (5.38%) had a TCR intra–operatively. In all 14 patients with a TCR, the postoperative courses presented no complications that could be directly related to this intra–operative phenomenon.

Conclusions:

The appearance of the TCR allows the surgeon to interrupt surgical maneuvers immediately. This technique is sufficient for the heart rate and the arterial blood pressure to return to normal levels. This phenomenon must not condition the quality of tumor resection.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Lotfi Boublata, TRIGEMINO-CARDIAC REFLEX IN VESTIBULAR SCHWANNOMA SURGERY, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-2 | February-2018

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