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Bradycardia and hypotension during craniotomy can have deleterious consequences to the vulnerable brain. Usually, bradycardia is associated with hypertension (trigeminocardiac reflex [TCR] or Cushing's reflex) and tachycardia with hypotension (acute blood loss). In this report, we describe simultaneous occurrence of severe bradycardia and acute hypotension immediately after craniotomy...
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