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

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From the Department of Anesthesiology and Perioperative Medicine, Penn State Health Milton S. Hershey Medical Center, Penn State College of Medicine, Hershey, Pennsylvania.

Published: October 2019

AI Article Synopsis

  • Postsurgical trigeminal neuralgia (TN) can cause serious heart issues by triggering the trigeminocardiac reflex (TCR), which complicates diagnosis and treatment for doctors.
  • A case is discussed involving a patient who developed a parotid abscess after otolaryngologic surgery, resulting in recurrent symptomatic bradycardia and cardiovascular issues.
  • This situation underscores the need for healthcare professionals to be vigilant, quickly diagnose, and treat postsurgical nerve pain to prevent potentially life-threatening complications.

Article 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.

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Source
http://dx.doi.org/10.1213/XAA.0000000000001056DOI Listing

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