Coronary Spasm in Neurosurgical Patients and Role of Trigeminocardiac Reflex

Table 1

Cases related to coronary artery spasm during neurosurgical procedures.

Author/year	Procedure	Presentation	Treatment
Harada et al. (2011) [4]	CP angle tumor	ST-elevation, VF	Resuscitation/surgery cancelled
Kotake et al. (2009) [5]	Aneurysm clipping	Bradycardia, AV block; ST-elevation, VT	Transdermal Isorbide nitrate; Stop B-blocker, PG-E1infusion
Glossop and Dobbs (2008) [11]	DBS surgery
Case  1	Parkinson disease	ST-depression	Sublingual GTN
Case  2	Essential tremors	Tachycardia, HT; ST-elevation	Sublingual GTN
Bilgin et al. (2002) [6]	RF trigeminal rhizotomy	Hypotension, bradycardia; ST-elevation	IV NTG
Kariya et al. (1999) [8]	Drilling (burr hole)	Hypotension, VF	IV NTG
Furuya et al. (1996) [9]	Burr hole	Bradycardia, ST-elevation	No treatment
Saito et al. (1991) [14]	Craniotomy	Hypotension, VF; ST-elevation	Cardiopulmonary resuscitation; IV NTG and lidocaine,; Surgery cancelled
Swerdlow et al. (1988) [7]	Glycerol trigeminal rhizotomy	ST-changes, MI	Nitrates, B-blocker

CP: Cerebello-pontine; HT: Hypertension; VF: Ventricular fibrillation; VT: Ventricular tachycardia; MI: Myocardial Infarction; NTG: Nitroglycerine.