|
Author | Patient | Procedure | Cardiac rhythm | Cause | Management | Outcome |
|
Harada et al. [20] | 69 y ♂ |
Craniotomy (CPA) meningioma) | ST elevation, VF | Coronary artery spasm secondary (vagal stimulation) | Procedure abandoned | No neurological deficits |
Jaiswal et al. [21] | 32 y ♂ | Retromastoid suboccipital craniotomy | Bradycardia, asystole, VF, AF | TCR | Atropine, CPR, epinephrine, amiodarone | No neurological deficits |
Usami et al. [22] | 3 patients [36–52 y; ♀ = 2, ♂ = 1] | Temporal craniotomy (); retrosigmoid craniotomy () | Asystole () | TCR (), remifentanil ( = 3) | Atropine (); surgery interruption () | No neurological deficits |
Prabhakar et al. [23] | 40 y ♀ | Retromastoid suboccipital craniotomy | Asystole | TCR | Surgery interruption | Mild facial paresis |
Schaller [24] | 1/28 | Microvascular trigeminal decompression | Asystole (33 s) | TCR | Surgery interruption | No neurological deficits |
Sellery [25] | ♀, age not specified | Chiari malformation | Asystole (20 s) | Brain stem manipulation | Atropine, ephedrine | No neurological deficits |
Raman Sharma et al. [26] | 60 y ♀ | Retromastoid suboccipital craniotomy | Bradycardia (recurrent), asystole (40 s × 3 times) | Tumor excision (vagal stimulation) | Interruption surgery | Right vocal cord paralysis |
Schaller et al. [27] | 3/125 patients | CPA surgery | Asystole (<180 s) | TCR | Surgery interruption (), atropine () | No neurological deficits |
Loewenthal et al. [28] | 53 ♀ | Cerebellar meningioma | Bradycardia, asystole (3 min) | Coronary artery gas embolism; hypovolemia | CPR in prone position | No neurological deficits |
Isabel et al. [29] | 48 y ♀ | Right retromastoid craniectomy, | Asystole (up to 45 s × many times) | GVR | Lidocaine, atropine; surgery interruption; transvenous pacing | No neurological deficits |
Nagashima et al. [30] | 74 y ♀ | Suboccipital craniotomy (vagal rootlet section) | Asystole | Vagal stimulation | Atropine | Altered sensorium for 5 days |
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