tailieunhanh - Báo cáo y học: " Usefulness of case reports to improve medical knowledge regarding trigemino-cardiac reflex in skull base surgery"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Usefulness of case reports to improve medical knowledge regarding trigemino-cardiac reflex in skull base surgery. | Sandu et al. Journal of Medical Case Reports 2011 5 149 http content 5 1 149 JOURNALOF medical Ur Case REPORTS EDITORIAL Open Access Usefulness of case reports to improve medical knowledge regarding trigemino-cardiac reflex in skull base surgery Nora Sandu1 Pooan Sadr-Eshkevari2 Bernhard J Schaller1 3 and for the Trigemino-Cardiac Reflex Examination Group TCREG Abstract We describe the discovery of the trigemino-cardiac reflex by Schaller in 1999 and the continued improvement of the knowledge about the trigemino-cardiac reflex involved in neurosurgery especially in skull base surgery during the past several years. The achieved medical progress could be gained only by the practical experience described by different case reports and later case series that have been published in several principal scientific journals. Additionally we explain the scientific as well as clinical importance of the communication of the case reports on TCR. Special reference has been given to the validity of the case reports for new phenomena in clinical medicine. Editorial Clinical case reports which are often overlooked by mainstream scientific journals represent an important maybe even an exclusive way of communicating new and unusual clinical findings in medicine to the scientific community. In addition they are often the main source of new knowledge about rare clinical features in medicine especially in surgery. One such example is the discovery of the trigemino-cardiac reflex TCR a well-recognized brainstem reflex that consists of bradycardia arterial hypotension apnea and gastric hypermotility 1 . The current knowledge of this reflex is mainly based on a cornerstone article that introduced the topic into neurosurgery and skull base surgery in 1999 1 . Clear proof of the reflex s existence was provided on a causal relationship basis and the TCR arc was described to be constituted of trigeminal and cardioinhibitory vagus nerves as the afferent and efferent .

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