RT Journal Article SR Electronic T1 Neurogenic stunned myocardium following hemorrhagic cerebral contusion JF Neurosciences Journal JO Neurosciences (Riyadh) FD Prince Sultan Military Medical City SP 65 OP 67 VO 12 IS 1 A1 Dirk Deleu A1 Marie-Anne Kettern A1 Yolande Hanssens A1 Suresh Kumar A1 Khalid Salim A1 Francisco Miyares YR 2007 UL http://nsj.org.sa/content/12/1/65.abstract 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.