An adult female with Obstructive Hydrocephalus who presented with Neurogenic Stunned Myocardium during a Neuroendoscopic procedure: A case report

Neurogenic stunned myocardium (NSM) is a condition wherein a neurologic pathology results in myocardial injury. This is a case of an adult patient who developed intraoperative NSM presenting as hypertension and tachycardia progressing to supraventricular tachycardia and ST-elevation during an emergency endoscopic septostomy, biopsy and ventricular peritoneal shunt (VPS) insertion. It is important for the anesthesiologist to be familiar with this condition to ensure prompt recognition and management as well as to avoid significant morbidity and mortality.