Junctional rhythm during neurosurgical procedure
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ABSTRACT :
Alteration of cardiac electrical activity is usually due to primary cardiac pathology, but can also be secondary to non-cardiac causes, e.g. electrolyte disturbances, hypothermia, esophageal disorders, poisoning, drugs as well as some intracranial events like ischemic stroke, cerebral hemorrhage, subarachnoid hemorrhage, space occupying lesions etc. We present a case of a young male undergoing craniotomy and excision of intracranial epidermoid presenting with an intraoperative event consisting of multiple episodes of junctional rhythm.

CASE :
A 21 year old male patient presented to the neurosurgery OPD with complaints of gradually progressive hearing loss on the right side, slurring of speech and right sided facial weakness since the last eighteen months. He also had complaints of weakness in the right upper and lower limbs since one year with history of choking while eating food. On clinical and radiological examination he was found to have right cerebello-pontine angle epidermoid cyst (Figure 1) and was planned for craniotomy and excision........

http://www.apicareonline.com/junctional-rhythm-during-neurosurgical-procedure/
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