About the trigemino-cardiac reflex, their association with sleep bruxism and the reason why clinicians treating Sb should consider a careful examination in order to decide properly how to adequately follow these patients
This work is licensed under Creative Commons Attribution 4.0 License.Although well established as a neurogenic reflex pursuing a cardiovascular protective control in physiological conditions, trigemino-cardiac reflex (TCR) mechanisms and its clinical significance remains unclear This powerful brainstem oxygen-conserving autonomic reflex usually manifests as sudden onset of hemodynamic changes on heart rate (HR) and blood pressure (BP) and has been associated to arrhytmias, asystole, apnea and disturbed gastric mobility. The automatic response can be activated by mechanical or chemical stimulation at any point in the course of the trigeminal nerve and their branches and usually gets abolished after the removal of the inciting stimulus. Sometimes however persistence of TCR can result in exaggerated response which may have fatal consequences, particularly in pediatric age and in elderly.info:eu-repo/semantics/publishedVersio
