Brain and Heart Crosstalk During Neurointerventional Procedures: The Role of the Trigeminocardiac Reflex: An Updated Systematic Review
Tumul Chowdhury, Abanoub Aziz Rizk, Emad Al Azazi, Lashmi Venkatraghavan, Jai Shankar, Bernhard Schaller
Abstract
The trigeminocardiac reflex is a well-described brainstem reflex that clinically manifests as bradycardia, hypotension, or apnea. This physiological phenomenon is extensively reported during open neurosurgical procedures, but very few data exist for trigeminocardiac reflex occurrence during neurointerventional procedures. This systematic review aims to provide aggregated information related to the trigeminocardiac reflex during neurointerventional procedures and to improve understanding of the various mechanisms that can incite this unique brain-heart crosstalk.
Topics & Concepts
MedicineReflexBradycardiaBrainstemAnesthesiaNeuroscienceHeart rateInternal medicinePsychologyBlood pressureTrigeminal Neuralgia and TreatmentsMigraine and Headache StudiesVascular Malformations Diagnosis and Treatment