Key result
An 18-year-old female with malignant neurocardiogenic syncope successfully underwent extensive dental treatment under general anesthesia in a hospital setting without exhibiting any urgent medical situations.
Case Report (n=1)
Patients with malignant neurocardiogenic syncope require meticulous preoperative planning, specialist consultation, and potentially hospital-based treatment with IV hydration to safely undergo extensive dental procedures.
Suggests hospital GA may enable safe dental care in malignant neurocardiogenic syncope; hypothesis-generating and leaves open need for prospective validation.
Neurocardiogenic Syncope is a form of Dysautonomia which commonly occurs in children. It carries with it a potential for a range of responses from syncope to cardiac arrest. Because of these recurring events, this condition has a significant impact on their quality of life and causes them to alter daily routine living events. This report details the symptoms, pathophysiology, malignant vasovagal syncope, treatments, dental considerations, emergency management and highlights a case report featuring a history of cardiac arrest in a patient with multiple dental needs. The case outlines the efforts taken to avoid a repeat of complications from this condition and the difficulties encountered when disagreements exist among professionals. The perils of this condition are masked by their average appearance at presentation and emphasize the importance of an accurate medical history.
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Gary J. Badger (2015) conducted a case report in Malignant Neurocardiogenic Syncope (n=1). Dental treatment under general anesthesia with IV hydration in a hospital setting was evaluated on Occurrence of urgent medical situations during dental treatment. An 18-year-old female with malignant neurocardiogenic syncope successfully underwent extensive dental treatment under general anesthesia in a hospital setting without exhibiting any urgent medical situations.
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