A profound case of neurally mediated syncope with asystole after septoplasty

被引：0
作者：
Ruhl, Douglas S. [1 ]
Ramsey, Mitchell J.
Ruffin, David M. [2 ]
机构：
[1] Tripler Army Med Ctr, Attn MCHK DSH, Dept Otolaryngol Head & Neck Surg, Tamc, HI 96859 USA
[2] Tripler Army Med Ctr, Dept Anesthesiol, Tamc, HI 96859 USA
来源：
JOURNAL OF CLINICAL ANESTHESIA | 2012年 / 24卷 / 04期
关键词：
Asystole; Neurocardiogenic syncope; Vasovagal septoplasty; HEAD-UP TILT; MALIGNANT VASOVAGAL SYNCOPE; GLOSSOPHARYNGEAL NEURALGIA; VAGOGLOSSOPHARYNGEAL NEURALGIA; CARDIAC SYNCOPE; TASK-FORCE; MANAGEMENT; DIAGNOSIS; THERAPY;
D O I：
10.1016/j.jclinane.2011.10.006
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Vasovagal syncope (VVS) is an alarming yet benign condition that may present postoperatively for the first time in otherwise healthy patients. Although VVS is associated anecdotally with nasal manipulation, no data have been found to quantify this incidence with otolaryngology surgeries. We present a case of profound, recurrent syncope and documented asystole with an initial diagnosis of glossopharyngeal neuralgia. We conclude with a discussion of neurally mediated syncope particular to the perioperative setting. It is essential to recognize neurocardiogenic etiology to differentiate it from other more concerning causes of syncope and asystole. Published by Elsevier Inc.
引用
收藏
页码：310 / 314
页数：5
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