English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Microvascular decompression (MVD) of trigeminal nerve root entry zone is a well described technique in the treatment of trigeminal neuralgia. It is considered safe and is reported to have a high level of effectiveness.1 Trigeminocardiac reflex (TCR), a reflex consisting of bradycardia, hypotension, apnoea and gastric hypermotility is reported to occur, during craniofacial surgery,2,3 cerebellopontine angle surgery,4 percutaneous micro decompression of trigeminal ganglion5,6 and MVD for trigeminal neuralgia.7 We describe a case of TCR during MVD in a patient on chronic amitryptyline and carbamazepine therapy presenting as bradycardia followed by cardiac arrest nonresponsive to atropine, adrenaline and dopamine. This was successfully treated with isoprenaline and noradrenaline.

southern african journal of anaesthesia and analgesia

Trigeminocardiac reflex unresponsive to atropine during microvascular decompression of trigeminal nerve root:A potentially lethal complication of a simple surgery