TY - JOUR T1 - Neurogenic stunned myocardium following hemorrhagic cerebral contusion JF - Neurosciences Journal JO - Neurosciences (Riyadh) SP - 65 LP - 67 VL - 12 IS - 1 AU - Dirk Deleu AU - Marie-Anne Kettern AU - Yolande Hanssens AU - Suresh Kumar AU - Khalid Salim AU - Francisco Miyares Y1 - 2007/01/01 UR - http://nsj.org.sa/content/12/1/65.abstract N2 - 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. ER -