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
283
Last Page
285
Recommended Citation
Deleu, Dirk; Kettern, Marie-Anne; Hanssens, Yolande; Kumar, Suresh; Salim, Khalid; and Miyares, Francisco
(2007)
"Neurogenic stunned myocardium following hemorrhagic cerebral contusion.,"
Saudi Medical Journal: Vol. 28:
Iss.
2, Article 24.
DOI: https://doi.org/10.15537/1658-3175.3790