Abstract
Neurogenic stunned myocardium (NSM) is a well-known complication of subarachnoidal hemorrhage, but has been reported rarely in association with other central nervous system disorders. A case of NSM is described in a patient with hemorrhagic brain contusion associated with cerebral edema. An 18-year-old man was admitted with severe cranial trauma following a car roll-over. Six days after admission, he developed findings suggestive for NSM. The troponin T and creatine kinase-MB level were elevated and echocardiogram showed apical and inferoposterior hypokinesis and diffuse left ventricular akinesis with severely reduced ejection fraction (18%). Invasive measurements confirmed low cardiac output. His cardiac function resolved completely within 6 days after decompressive craniotomy. This case supports the presumed unifying role of the increased intracranial pressure, probably triggering a vigorous sympathetic outflow hyperactivity leading to NSM.
Article Type
Case Report
First Page
65
Last Page
67
Recommended Citation
Deleu, Dirk; Kettern, Marie-Anne; Hanssens, Yolande; Kumar, Suresh; Salim, Khalid; and Miyares, Francisco
(2007)
"Neurogenic stunned myocardium following hemorrhagic cerebral contusion,"
Neurosciences: Vol. 12:
Iss.
1, Article 14.
DOI: https://doi.org/10.17712/1658-3183.1471