|
Author | Patient () (age/sex) | Procedure | Cardiac rhythm | Cause | Management | Outcome |
|
Chowdhury and West [3] | 50 y ♀ | Awake craniotomy (frontal tumor) | Bradycardia, asystole (25 s) | TCR (scalp traction) | Release scalp traction; cessation propofol and remifentanil infusions | No neurological deficit |
Prabhu et al. [4] | 65 y ♂ | Awake craniotomy (temporal tumor) | Bradycardia and asystole (8–10 s × 2 times) | TCR (dura cautery) | Cessation of cautery, atropine | No neurological deficit |
Sinha et al. [5] | 18 y ♂ | Epilepsy surgery | Bradycardia (2 episodes), asystole (9 s) | Parasympathetic response 2° to amygdala resection; warm and cold saline irrigation | Atropine; cessation of stimulus | No neurological deficit |
Sato et al. [6] | 6/42 18–34 y; ♀ = 3, ♂ = 2 | Epilepsy surgery | Sinus bradycardia (<1 min) | Parasympathetic tone 2° to limbic stimulation | Procedure interruption; atropine | No neurological deficit |
Tyler et al. [7] | 22 y ♀ | Craniotomy (parietal tumor) | Asystole | Intracranial hematoma (dural closure) | Hematoma evacuation | No neurological deficit |
Wasnick et al. [8] | 70 ♂ | Epidural suction drain | Severe bradycardia | Intracranial hypotension | Release of suction | No neurological deficit |
Alfery et al. [9] | 18 ♀ | VP shunt | VT, VF | Intracranial hypotension | Lidocaine, CPR | No neurological deficit |
Karamchandani et al. [10] | 65 ♀ | Subgaleal suction drain | Multiple severe bradycardia | Intracranial hypotension | Release of suction, atropine | No neurological deficit |
Bhagat et al. [11] | 2 patients both 60 ♂ | Subgaleal suction drain | Severe bradycardia, Asystole | Intracranial hypotension | Release of suction, atropine | No neurological deficit |
|