ArticleJournal of dental anesthesia and pain medicine2022
Profound trigeminocardiac reflex from lingual nerve stimulation: a case report.
Article in Journal of dental anesthesia and pain medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Trigemino-Vagal Recalibration in Pediatric Anesthesia: A Prospective Cohort Study on the "60-Minute Autonomic Cliff," "Trigger Mass," and Recovery Dynamics in 1115 Dental Procedures.Journal of clinical medicine · 2026Article
- Repeated ventricular bigeminy by trigeminocardiac reflex despite atropine administration during superficial upper lip surgery: A case report.World journal of clinical cases · 2022Article
- The Effect of Trigeminal Ganglion Block on Trigeminocardiac Reflex in Elderly Patients with Trigeminal Neuralgia Undergoing Percutaneous Balloon Compression: A Randomized Controlled Study.Therapeutics and clinical risk management · 2022Article
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Authors and funding
2 authors.
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Abstract
Trigeminocardiac reflex (TCR) is a well-known brainstem reflex that manifests as hypotension, bradycardia, dysrhythmia, and asystole when stimulation is applied to a branch of the trigeminal nerve. Most commonly associated with ophthalmic, orbital, and neurologic surgeries, mandibular division and oral cavity variants occur far less frequently. Here, we describe a case of asystolic TCR elicited by lingual nerve stimulation. This case highlights the role of specific anesthetic medications in modulating this phenomenon and reinforces the need for early recognition and clear communication in case of its occurrence. Anesthesia providers must consider discontinuing or avoiding certain medications when clinically appropriate, even during low TCR-risk procedures.
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