The role of the Trigeminocardiac Reflex in a Traumatic Brain Injury Death: Case Report

Author:

Radanović Dražen1ORCID,Mirčić Uroš2ORCID,Radnić Bojana3ORCID,Elboursh Dušan4ORCID,Bogosavljević Đurđina5ORCID,Stanisavljević Jovana6ORCID,Antonijević Jovana6ORCID,Knežević Saša7ORCID,Čukić Bojan2ORCID,Pajić Srbislav8ORCID

Affiliation:

1. Clinic of Neurosurgery, University Clinical Center of Serbia, Belgrade Republic of Serbia

2. Department of Radiology, University Clinical Center of Serbia, Republic of Serbia

3. Institute of Forensic Medicine “Milovan Milovanović”, University of Belgrade Faculty of Medicine

4. Emergency Center,University Clinical Center of Serbia, Republic of Serbia

5. bogosavljevicdjurdjina@gmail.com

6. Department of Anesthesiology and Resuscitation, Center for Anesthesiology and Resuscitation, University Clinical Center of Serbia, Belgrade, Republic of Serbia

7. Department of Anesthesiology and Resuscitation on Clinic for Neurosurgery, Center for Anesthesiology and Resuscitation, University Clinical Center of Serbia, Belgrade, Republic of Serbia

8. Department of Neurotraumatology, University Clinical Center of Serbia, Belgrade, Republic of Serbia

Abstract

Abstract The trigeminocardiac reflex (TCR) is defined as sudden onset of parasympathetic dysrhythmias including hemodynamic irregularities, apnea, and gastric hypermotility during stimulation of sensory branches of the trigeminal nerve. Back in 1999 when TCR was first described as such, a clinical discussion on the establishment of terminology is ongoing. We present a case of a 31-year-old male patient who was admitted to the Emergency Department due to traumatic brain injury who died with clinical manifestations of TCR. TCR can be a red flag for neurosurgeons when treating patients with traumatic brain injury.

Publisher

Research Square Platform LLC

Reference8 articles.

1. Management of the trigeminocardiac reflex: facts and own experience;Arasho B;Neurol India.,2009

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4. Epistaxis: a retrospective review of hospitalized patients;Pollice PA;Otolaryngol Head Neck Surg.,1997

5. Trigeminocardiac reflex during surgery in the cerebellopontine angle;Schaller B;J Neurosurg,1999

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