%0 Journal Article %A Dirk Deleu %A Marie-Anne Kettern %A Yolande Hanssens %A Suresh Kumar %A Khalid Salim %A Francisco Miyares %T Neurogenic stunned myocardium following hemorrhagic cerebral contusion %D 2007 %J Neurosciences Journal %P 65-67 %V 12 %N 1 %X 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. %U https://nsj.org.sa/content/nsj/12/1/65.full.pdf