Department of Otolaryngology - Head and Neck Surgery, Tripler Army Medical Center, TAMC, HI 96859, USA.
J Clin Anesth. 2012 Jun;24(4):310-4. doi: 10.1016/j.jclinane.2011.10.006.
Vasovagal syncope (VVS) is an alarming yet benign condition that may present postoperatively for the first time in otherwise healthy patients. Although VVS is associated anecdotally with nasal manipulation, no data have been found to quantify this incidence with otolaryngology surgeries. We present a case of profound, recurrent syncope and documented asystole with an initial diagnosis of glossopharyngeal neuralgia. We conclude with a discussion of neurally mediated syncope particular to the perioperative setting. It is essential to recognize neurocardiogenic etiology to differentiate it from other more concerning causes of syncope and asystole.
血管迷走性晕厥（VVS）是一种令人担忧但良性的病症，在其他健康患者中，其可能首次出现在术后。尽管 VVS 与鼻腔操作有关，但尚未发现有关耳鼻喉科手术中这种发生率的相关数据。我们报告了一例严重、反复发作的晕厥和记录到的心动停止病例，最初诊断为舌咽神经痛。我们以讨论围手术期特定的神经介导性晕厥结束。识别神经心源性病因至关重要，以便将其与晕厥和心动停止的其他更严重病因区分开来。
