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Trigeminocardiac Reflex: A Review and Key Implications to Dermatologic Surgery.
Emily Poe1, Rawn Bosley2, Robert Steele2
1Washington State University College of Medicine, Spokane, Washington.
Summary
The trigeminocardiac reflex (TCR) can occur during dermatologic surgery, causing bradycardia and hypotension. Promptly stopping the stimulus and providing symptomatic care are key management strategies for this underreported reflex.
Area of Science:
- Neurology
- Dermatology
- Cardiology
Background:
- The trigeminocardiac reflex (TCR) is a neurological response that can be triggered by stimuli affecting the trigeminal nerve.
- While common, TCR is underreported and can range from mild to life-threatening, often presenting with cardiovascular and gastrointestinal symptoms.
Conclusions:
- The trigeminocardiac reflex (TCR) is an underrecognized event in dermatologic surgery.
- Clinicians should consider TCR in patients experiencing bradycardia or hypotension during dermatologic procedures.
