Bradycardia without hypertension and bradypnea in acute traumatic subdural hematoma is a sensitive predictor of the Cushing triad: 3 case reports

Faried, Ahmad; Sendjaja, Andi N.; Melia, Regina; Arifin, Muhammad Z.

doi:10.1016/j.inat.2016.10.001

Cited by 4 publications

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 In our case, resistant bradycardia may be the result of raised ICP due to pneumocephalus causing compression of the brain stem and continuous vagal stimulation. 8 Another likely explanation is the Cushing's reflex wherein the arterial blood pressure exceeds the ICP to restore blood flow to the brain. The increased arterial blood pressure stimulates the baroreceptors of carotid bodies, thus drastically slowing the heart rate.…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Tension Pneumocephalus Causing Atropine-Resistant Bradycardia

Gali

Kommula

Kesavarapu

2022

J Neuroanaesth Crit Care

View full text Add to dashboard Cite

Pneumocephalus is a serious complication following brain trauma. Tension pneumocephalus (TP) is entrapment of a large volume of air in the cranial vault causing mass effect on the brain parenchyma. It is the intracranial counterpart of tension pneumothorax and if neglected, can be life threatening. TP should be timely differentiated from benign pneumocephalus owing to its various nonspecific and lethal complications. Our patient is a 37-year-old male with a history of road traffic accident who presented to our hospital with headache and nasal discharge for the last two days. Computed tomography showed multiple skull fractures and extensive pneumocephalus. His preoperative heart rate was 38 beats per minute that was resistant to pharmacological interventions and required a temporary pacemaker for surgery. He underwent uneventful craniotomy for dura repair and was discharged home with no neurological deficit.

show abstract

Section: Discussionmentioning

confidence: 99%