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Coronary artery spasm induced by trigeminal nerve stimulation and vagal reflex during intracranial operation
N Kariya1, H Toyoyama, K Furuichi
1Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka, Japan.
Journal of Neurosurgical Anesthesiology
|July 22, 1999
Abstract:
This report describes a case of ventricular fibrillation resulting from coronary vasospasm during intracranial operation under general anesthesia. An autonomic response associated with the intracranial procedure caused a coronary spasm, which was worsened by alpha-agonists. Nitroglycerin effectively resolved the coronary spasm and co-complications persisted.