2026-03-11T13:11:45Z https://repository.lib.tottori-u.ac.jp/oai

oai:repository.lib.tottori-u.ac.jp:00004759 2023-09-28T23:54:12Z 1:9 2:12 23:34:988:992

A Case of Skull Base Chondrosarcoma with Intraoperative Trigemino-Cardiac Reflex 矢間, 敬章 4461 ヤザマ, ヒロアキ 30444631 Yazama, Hiroaki 100001500 ハセガワ, ケンサク 16992 黒崎, 雅道 1833 クロサキ, マサミチ 100000148 Kurosaki, Masamichi 國本, 泰臣 1789 クニモト, ヤスオミ 20444630 Kunimoto, Yasuomi 100000922 藤原, 和典 369 フジワラ, カズノリ 90403419 Fujiwara, Kazunori 100000417 竹内, 裕美 3674 タケウチ, ヒロミ 40197273 Takeuchi, Hiromi 100000179 Hasegawa, Kensaku 16993 ハセガワ, ケンサク Watanabe, Tasuku 16994 chondrosarcoma infratemporal fossa trigemino-cardiac reflex chondrosarcoma infratemporal fossa trigemino-cardiac reflex A 75-year-old female patient presented with a suspected recurrence of a clival chordoma. The tumor was resected using the infratemporal fossa type B and anterior petrosal approach with the help of a neurosurgeon. During cauterization of the trigeminal nerve, the patient developed cardiac arrest for approximately 10 seconds because of the trigemino-cardiac reflex (TCR). After several sternal compressions, there was return of spontaneous circulation. The operation was resumed after the circulatory dynamics stabilized. Subsequently, the surgery was completed with partial resection of the tumor without the recurrence of cardiac arrest. The pathological diagnosis was chondrosarcoma, and postoperative treatment with radiotherapy was started. Stimulation of the sensory branches of the trigeminal nerve induces TCR. There are reports of TCR developing in approximately 10% of skull base surgery cases in the absence of atropine administration. We report a rare case of TCR during the surgical procedure for the treatment of a skull base chondrosarcoma. journal article Tottori University Medical Press 2020-11-24 VoR application/pdf Yonago Acta Medica 4 63 376 378 Yonago Acta Medica AA00892882 05135710 https://repository.lib.tottori-u.ac.jp/record/4759/files/yam63(4)_376.pdf https://repository.lib.tottori-u.ac.jp/records/4759 eng 10.33160/yam.2020.11.015 Yazama Hiroaki, Hasegawa Kensaku, Kurosaki Masamichi, et al. A Case of Skull Base Chondrosarcoma with Intraoperative Trigemino-Cardiac Reflex. 2020, 63(4). 376-378. doi:10.33160/yam.2020.11.015 https://www.jstage.jst.go.jp/article/yam/63/4/63_2020.11.015/_article/ https://www.jstage.jst.go.jp/article/yam/63/4/63_2020.11.015/_article/ http://www.lib.tottori-u.ac.jp/yam/yam/yam63-4/63-4contents.html http://www.lib.tottori-u.ac.jp/yam/yam/yam63-4/63-4contents.html Yonago Acta medica　編集委員会