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An Unusual Case of Asystole Occurring during Deep Brain Stimulation Surgery
Joint Authors
Nguyen, Ha Son
Pahapill, Peter A.
Woehlck, Harvey
Source
Case Reports in Neurological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-27
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Symptomatic bradycardia and hypotension in neurosurgery can produce severe consequences if not managed appropriately.
The literature is scarce regarding its occurrence during deep brain stimulation (DBS) surgery.
Case Presentation.
A 67-year-old female presented for left DBS lead placement for essential tremors.
During lead implantation, heart rate and blood pressure dropped rapidly; the patient became unresponsive and asystolic.
Chest compressions were initiated and epinephrine was given.
Within 30 seconds, the patient became hemodynamically stable and conscious.
A head CT demonstrated no acute findings.
After deliberation, a decision was made to complete the procedure.
Assuming the etiology of the episode was the Bezold-Jarisch reflex (BJR), appropriate accommodations were made.
The procedure was completed uneventfully.
Conclusion.
The episode was consistent with a manifestation of the BJR.
The patient had a history of neurocardiogenic syncope and a relatively low-volume state, factors prone to the BJR.
Overall, lead implantation can still occur safely if preventive measures are employed.
American Psychological Association (APA)
Nguyen, Ha Son& Woehlck, Harvey& Pahapill, Peter A.. 2016. An Unusual Case of Asystole Occurring during Deep Brain Stimulation Surgery. Case Reports in Neurological Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101335
Modern Language Association (MLA)
Nguyen, Ha Son…[et al.]. An Unusual Case of Asystole Occurring during Deep Brain Stimulation Surgery. Case Reports in Neurological Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101335
American Medical Association (AMA)
Nguyen, Ha Son& Woehlck, Harvey& Pahapill, Peter A.. An Unusual Case of Asystole Occurring during Deep Brain Stimulation Surgery. Case Reports in Neurological Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101335
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101335