Abstract
Cardiac dysfunction occurring secondary to neurologic disease, termed neurogenic stunned myocardium, is an incompletely understood phenomenon that has been described after several distinct neurologic processes. We present a case of neurogenic stunned myocardium, discovered intraoperatively after anesthetic induction, in a patient who presented to our operating room with a recent intraparenchymal hemorrhage. We discuss the longitudinal cardiac functional course after neurogenic stunned myocardium. Finally, we discuss the pathophysiology of neurogenic stunned myocardium, as well as its implications for anesthesiologists caring for neurosurgical patients.
Publication types
-
Case Reports
-
Research Support, N.I.H., Extramural
MeSH terms
-
Adult
-
Anesthesia, General / adverse effects*
-
Cerebral Hemorrhage / complications*
-
Cerebral Hemorrhage / surgery
-
Emergency Service, Hospital
-
Heart / physiopathology*
-
Hemangioma, Cavernous, Central Nervous System / complications
-
Hemangioma, Cavernous, Central Nervous System / surgery
-
Humans
-
Hypertension / drug therapy
-
Hypotension / chemically induced
-
Hypotension / drug therapy
-
Levetiracetam
-
Male
-
Methamphetamine / adverse effects
-
Myocardial Stunning / complications*
-
Nicardipine / therapeutic use
-
Perioperative Period
-
Phenylephrine / therapeutic use
-
Piracetam / analogs & derivatives
-
Piracetam / therapeutic use
-
Seizures / prevention & control
-
Substance-Related Disorders / complications
-
Takotsubo Cardiomyopathy / diagnosis
-
Takotsubo Cardiomyopathy / etiology*
Substances
-
Phenylephrine
-
Methamphetamine
-
Levetiracetam
-
Nicardipine
-
Piracetam