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Updated: Jun 13, 2026

Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Trigeminocardiac reflex in the Postanesthesia care unit
Laura B Hemmer1, Sherif Afifi, Antoun Koht
1Department of Anesthesiology, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Abstract:
Bradycardia caused by the oculocardiac reflex is an anticipated occurrence during certain surgeries. The afferent pathway involves the trigeminal nerve's ophthalmic division. Reflex bradycardia from the trigeminocardiac reflex, via stimulation of maxillary or mandibular divisions of cranial nerve V, although less well known, has also been reported intraoperatively. Unstable bradycardia associated with stimulation of the mandibular division of cranial nerve V during trigeminal neuralgia pain episodes in the Postanesthesia Care Unit is presented.
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