Neurogenic stunned myocardium following hemorrhagic cerebral contusion
Saudi Medical Journal. 2007; 28 (2): 283-285
en Inglés
| IMEMR
| ID: emr-85085
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
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Edema Encefálico
/
Ecocardiografía
/
Gasto Cardíaco
/
Craneotomía
/
Hemorragia Cerebral Traumática
Tipo de estudio:
Informe de Casos
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Saudi Med. J.
Año:
2007
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