关键词: Bradycardia schwannoma trigeminal schwannoma trigeminocardiac reflex vagal reflex

来  源:   DOI:10.4103/ams.ams_141_20   PDF(Pubmed)

Abstract:
UNASSIGNED: Trigeminal schwannoma (TS) is a very rare tumour in the head-and-neck region and the occurrence of intraoperative trigeminocardiac reflex (TCR), during surgery, should not be underestimated. The physiological function of this rare brainstem reflex is yet to be fully established.
UNASSIGNED: TCR occurs in a variety of surgeries, such as neurosurgical, maxillofacial, dental and skull base surgeries with bradycardia as the presenting sign.
UNASSIGNED: This is a clinical profile of two patients who presented with schwannoma of the trigeminal nerve.
UNASSIGNED: Intraoperatively, during dissection of tumour, both patients had bradycardia with hypotension.
UNASSIGNED: The first patient had a spontaneous recovery but the other required intervention with vasopressors.
UNASSIGNED: One must be aware of the rare occurrence of TCR mainly while operating on a rare occurring TS. Ceaseless intraoperative monitoring and being prepared with adequate measures while manipulating close to the nerve will prevent serious complications.
摘要:
未经证实:三叉神经鞘瘤(TS)是头颈部区域非常罕见的肿瘤,并发生术中三叉神经心反射(TCR),手术期间,不应该被低估。这种罕见的脑干反射的生理功能尚未完全建立。
未经评估:TCR发生在各种手术中,比如神经外科,颌面部,以心动过缓为前兆的牙科和颅底手术。
UNASSIGNED:这是两名三叉神经神经鞘瘤患者的临床资料。
未经批准:术中,在肿瘤解剖期间,两名患者均有心动过缓伴低血压.
UNASSIGNED:第一个患者有自发恢复,但另一个患者需要血管加压药干预。
UNASSIGNED:人们必须注意TCR的罕见发生,主要是在对罕见的TS进行操作时。无止境的术中监测和在操纵靠近神经的同时采取适当的措施将防止严重的并发症。
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