PT  - JOURNAL ARTICLE
AU  - Deleu, Dirk
AU  - Kettern, Marie-Anne
AU  - Hanssens, Yolande
AU  - Kumar, Suresh
AU  - Salim, Khalid
AU  - Miyares, Francisco
TI  - Neurogenic stunned myocardium following hemorrhagic cerebral contusion.
DP  - 2007 Feb 01
TA  - Saudi Medical Journal
PG  - 283--285
VI  - 28
IP  - 2
4099  - http://smj.org.sa/content/28/2/283.short
4100  - http://smj.org.sa/content/28/2/283.full
SO  - Saudi Med J2007 Feb 01; 28
AB  - 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.