Coronary Artery Spasm Induced by Trigeminal Nerve Stimulation and Vagal Reflex During Intracranial Operation

Abstract

This report describes a case of ventricular fibrillation resulting from coronary vasospasm during intracranial operation under general anesthesia. An autonomic response associated with the intracranial procedure caused a coronary spasm, which was worsened by alpha-agonists. Nitroglycerin effectively resolved the coronary spasm and co-complications persisted.