A near catastrophe from trigeminocardiac reflex

Trigeminocardiac reflex is a brainstem reflex that results from stimulation of any branch of the trigeminal nerve along its course.It produces a constellation of signs and symptoms decrease in blood pressure (BP) and heart Advanced Wound Care - Fillers and Packing rate, dysrhythmias, apnoea and increased gastric motility.We present a case of 80-year-old female Ski de fond - Femme - Sous-vetements - Laine patient who developed alarming hypotension and bradycardia during craniotomy for meningioma excision resulting from this reflex.In the face of refractory hypotension despite administering ephedrine and phenylephrine, we had to resort to adrenaline to restore her normal BP.