CC BY-NC-ND 4.0 · Asian J Neurosurg 2020; 15(04): 1031-1033
DOI: 10.4103/ajns.AJNS_192_20
Case Report

Abrupt cessation of atrial fibrillation in a neurosurgical patient: Does positioning matter?

Steve Joys
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
,
Shalvi Mahajan
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
,
Rajeev Chauhan
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
,
Sanjay Kumar
Department of Anaesthesia and Intensive Care, PGIMER, Chandigarh
› Author Affiliations

Atrial fibrillation (AF) has been associated with cancer. However, the literature regarding the occurrence of AF in patients with brain tumors is limited. Neuroanatomic connections between the brain and the heart may affect heart rate and rhythm. We discuss a case of transient AF in a 64-year-old female who was operated for a right-sided sphenoid wing meningioma. The AF might have been related to the positioning of the head and neck of the patient, in whom the intracranial compliance was reduced due to the brain tumor.

Financial support and sponsorship

Nil.




Publication History

Received: 02 May 2020

Accepted: 06 August 2020

Article published online:
16 August 2022

© 2020. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Schnabel RB, Yin X, Gona P, Larson MG, Beiser AS, McManus DD, et al. 50 year trends in atrial fibrillation prevalence, incidence, risk factors, and mortality in the Framingham heart study: A cohort study. Lancet 2015;386:154-62.
  • 2 O'Neal WT, Lakoski SG, Qureshi W, Judd SE, Howard G, Howard VJ, et al. Relation between cancer and atrial fibrillation (from the reasons for geographic and racial differences in stroke study). Am J Cardiol 2015;115:1090-4.
  • 3 Pawar NH, Vasanwala FF, Chua M. Brain tumor causing atrial fibrillation in an otherwise healthy patient. Cureus 2017;9:e1601.
  • 4 Davis AM, Natelson BH. Brain-heart interactions. The neurocardiology of arrhythmia and sudden cardiac death. Tex Heart Inst J 1993;20:158-69.
  • 5 Mavrocordatos P, Bissonnette B, Ravussin P. Effects of neck position and head elevation on intracranial pressure in anaesthetized neurosurgical patients: Preliminary results. J Neurosurg Anesthesiol 2000;12:10-4.
  • 6 Park SH, Park HP, Jeon YT, Hwang JW, Kim JH, Bahk JH. A comparison of direct laryngoscopic views depending on pillow height. J Anesth 2010;24:526-30.
  • 7 El-Orbany M, Woehlck H, Salem MR. Head and neck position for direct laryngoscopy. Anesth Analg 2011;113:103-9.
  • 8 Horton WA, Fahy L, Charters P. Defining a standard intubating position using “angle finder”. Br J Anaesth 1989;62:6-12.
  • 9 Liu Q, Kong AL, Chen R, Qian C, Liu SW, Sun BG, et al. Propofol and arrhythmias: Two sides of the coin. Acta Pharmacol Sin 2011;32:817-23.
  • 10 Miró O, de la Red G, Fontanals J. Cessation of paroxysmal atrial fibrillation during acute intravenous propofol administration. Anesthesiology 2000;92:910.
  • 11 Skrabalova J, Neckar J, Hejnova L, Bartonova I, Kolar F, Novotny J. Antiarrhythmic effect of prolonged morphine exposure is accompanied by altered myocardial adenylyl cyclase signaling in rats. Pharmacol Rep 2012;64:351-9.