Chewing-induced asystole: a manifestation of the trigeminal cardiac reflex in stroke recovery
The pathway to recovery from an acute ischemic infarct is unique for each patient. We present a 66-year-old woman with a history of hypertension and chronic obstructive pulmonary disease who suffered an acute right middle cerebral artery ischemic stroke confirmed by brain MRI. Recovery was complicated by brief asystolic events while eating. At presentation, she had a National Institutes of Health Stroke Scale (NIHSS) of 21, representative of left facial droop, left upper and lower extremity hemiparesis and ataxia, severe dysarthria and a reduced level of consciousness. Vital signs showed elevated blood pressure. The workup revealed 50–60% luminal narrowing of the proximal right internal carotid artery.
KeywordsStroke Trigeminal cardiac reflex Complications of stroke Stroke recovery
Ms. Castle—Study concept and design. Dr. Rosenstein—acquisition of data. Dr. Dobbs—analysis, interpretation and critical revision of the manuscript for important intellectual content.
Compliance with ethical standards
Conflict of interest
All authors declare that they have no conflict of interest.
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