小儿神经外科中的中枢性三叉神经心脏反射：一例病例报告及文献综述
Central trigeminocardiac reflex in pediatric neurosurgery: a case report and review of the literature.
作者信息
Spiriev Toma, Tzekov Christo, Laleva Lili, Kostadinova Christina, Kondoff Slavomir, Sandu Nora, Schaller Bernhard
机构信息
Department of Neurosurgery, Tokuda Hospital Sofia, 51b Nikola Vaptsarov Boulevard, Sofia, 1407, Bulgaria.
出版信息
J Med Case Rep. 2012 Oct 30;6:372. doi: 10.1186/1752-1947-6-372.
INTRODUCTION
Trigeminocardiac reflex is a well-known phenomenon in neurosurgery, craniofacial surgery, ophthalmology and interventional neuroradiology. Even though the trigeminocardiac reflex has become an important factor in skull base surgery and neurosurgery, the central form of trigeminocardiac reflex has only been described in adult subpopulations until now.
CASE PRESENTATION
We present a clear form of repetitive trigeminocardiac reflex expressed during revision surgery of a giant (110×61mm) right temporoparietal meningioma in an 18-month-old male Caucasian patient. After cessation of the surgical stimulus, his heart rate and mean arterial blood pressure returned to normal physiological levels. The further follow-up was uneventful.
CONCLUSION
Our case demonstrates that the central trigeminocardiac reflex also exists in pediatric patients, especially if manipulating trigeminal innervated structures or around the nerve itself. Whether the incidence and the behavior of the trigeminocardiac reflex is similar in pediatric neurosurgery compared with adult patients has to be shown in further studies.
引言
三叉神经心脏反射是神经外科、颅面外科、眼科和介入神经放射学中一种广为人知的现象。尽管三叉神经心脏反射已成为颅底手术和神经外科手术中的一个重要因素，但直到现在，三叉神经心脏反射的中枢形式仅在成年亚人群中被描述过。
病例报告
我们报告了一名18个月大的白种男性患者，在巨大（110×61mm）右颞顶脑膜瘤翻修手术期间出现的一种明显的重复性三叉神经心脏反射形式。手术刺激停止后，他的心率和平均动脉血压恢复到正常生理水平。进一步的随访过程顺利。
结论
我们的病例表明，中枢性三叉神经心脏反射在儿科患者中也存在，特别是在操作三叉神经支配的结构或神经本身周围时。与成年患者相比，儿科神经外科手术中三叉神经心脏反射的发生率和表现是否相似，还有待进一步研究证实。
Zotero 插件