A member asked:

Why the increasing in the intracranial pressure causing bradycardia?

5 doctors weighed in across 3 answers
Dr. Elizabeth Wallen answered

Specializes in Pediatrics

Complex: Look up Cushing Reflex. As blood pressure rises in an attempt to perfuse injured brain, baroreceptors in the aortic arch detect the high pressure and trigger a parasympathetic response via the vagus nerve... Voila! Bradycardia. There may also be mechanical stimulation of the parasympathetic response from the increased pressure in the brain.

Answered 2/20/2020

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Pressure on brainste: Increased intracranial pressure if high enough, will cause pressure on the brain stem, which controls heart rate.

Answered 2/20/2020

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Parasympathetic resp: Part Cushing Triad/reflex: Caused by the increased intracranial pressure (ICP) that initially increases heart rate and cardiac output to improve cerebral ischemia but then the aortic barorreceoptors detect it and trigger a parasympathetic response via the Vagus nerve (second phase of Cushing response). Direct distortion of the Vagus by elevated ICP can also trigger bradycardia directly.

Answered 11/29/2015

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