Cardiovascular Collapse in a Patient With Parotid Abscess: Dangerous Cross Talk Between the Brain and Heart: A Case Report

Abstract

Postsurgical trigeminal neuralgia (TN), although rare, can lead to significant hemodynamic perturbations by triggering the trigeminocardiac reflex (TCR). The combination can lead to diagnostic as well as management challenges for clinicians. We present the case of a patient with a parotid abscess, which developed as a complication of his otolaryngologic surgery, and which led to repeated episodes of symptomatic bradycardia associated with cardiovascular collapse. This case highlights the importance of heightened awareness, early diagnosis, and timely treatment of postsurgical neuropathic pain syndromes to avoid life-threatening complications.

Suppression of Electrographic Seizures Is Associated with Amelioration of QTc Interval Prolongation in Patients with Traumatic Brain Injury

“…Specifically, it demonstrated not only a strong relationship between TBI-induced ESz and prolonged QTc intervals but also the amelioration of prolonged QTc intervals after the treatment of ESz even in the face of QTc interval-prolonging barbiturate (thiopental) therapy in sedated TBI patients. Our findings support the concept of brain-heart cross-talk [38][39][40][41][42][43][44][45] and may pave the way to further larger observational or randomized controlled studies on this topic.…”