Abstract
We describe the occurrence of the trigeminocardiac reflex (TCR) during DMSO pre-flushing of the microcatheter in preparation for Onyx embolization via the internal maxillary artery. TCR has not been previously associated with embolization of extradural entities. Familiarity with this clinical reflex and its proper management may help in planning neurointerventional procedures involving DMSO injection in the trigeminal territory.
MeSH terms
-
Angiofibroma / blood supply
-
Angiofibroma / diagnostic imaging
-
Angiofibroma / therapy*
-
Bradycardia / chemically induced*
-
Child
-
Dimethyl Sulfoxide / administration & dosage
-
Dimethyl Sulfoxide / adverse effects*
-
Embolization, Therapeutic / adverse effects*
-
Embolization, Therapeutic / methods
-
Humans
-
Male
-
Nasopharyngeal Neoplasms / blood supply
-
Nasopharyngeal Neoplasms / diagnostic imaging
-
Nasopharyngeal Neoplasms / therapy*
-
Polyvinyls / administration & dosage
-
Radiography
-
Reflex / drug effects*
-
Solvents / administration & dosage
-
Solvents / adverse effects
-
Trigeminal Nerve / drug effects
-
Trigeminal Nerve / physiology
Substances
-
Onyx copolymer
-
Polyvinyls
-
Solvents
-
Dimethyl Sulfoxide