Introduction: This study reports the first cases of neurogenic stunned myocardium in two children with vein of Galen aneurysmal malformation after interventional treatment.
Patients: Two newborns with vein of Galen aneurysmal malformation and high output cardiac failure developed a severe reversible left ventricular dysfunction shortly after embolization, concurrently with acute hydrocephalus.
Results: There was a resolution of the cardiac symptoms of left ventricular dysfunction within a few days under treatment with milrinone and dobutamine.
Conclusions: Reversible left ventricular dysfunction is observed in adult patients mainly after subarachnoid hemorrhage and is called neurogenic stunned myocardium (NSM). Other forms of brain injuries have also been identified accounting for this condition in adults. In pediatric population especially with specific cerebral diseases, NSM may be underdiagnosed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00234-012-1088-7 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Cardiac manifestations of prolonged seizure: A case report on reverse takotsubo syndrome and neurogenic stunned myocardium.
Radiol Case Rep
January 2025
Research Department, Saint George Hospital, Beirut, Lebanon.
Article Synopsis
- Seizures can cause serious complications like cardiac problems and Takotsubo syndrome, which is a heart condition triggered by stress that resembles a heart attack.
- A case study of a 66-year-old woman with epilepsy showed that a prolonged seizure led to heart issues, including elevated troponin levels and heart function problems, with normal coronary arteries.
- After receiving adjusted anti-seizure treatments and cardiac care in the ICU, the patient improved significantly, underlining the need for coordinated care between neurology and cardiology to address these complications.
The Hidden Heart: Exploring Cardiac Damage Post-Stroke: A Narrative Review.
Medicina (Kaunas)
October 2024
Department of Cardiology, 'Dr. Carol Davila' Central Military Emergency University Hospital, 010825 Bucharest, Romania.
Stroke-heart syndrome (SHS), a critical yet underrecognized condition, encompasses a range of cardiac complications that arise following an ischemic stroke. This narrative review explores the pathophysiology, clinical manifestations, and implications of SHS, focusing on the complex interplay between the brain and the heart. Acute ischemic stroke (AIS) triggers autonomic dysfunction, leading to a surge in catecholamines and subsequent myocardial injury.
View Article and Find Full Text PDFNeurological and systemic effects of cocaine toxicity: A case report and review of the literature.
Med Int (Lond)
October 2024
Department of Critical Care Medicine, Cumming School of Medicine, Foothills Medical Centre, McCaig Tower, Calgary, AB T2N 5A1, Canada.
Article Synopsis
- Cocaine, once used as a topical anesthetic and in various tonics, is now commonly abused and linked to serious health complications.
- The case study focuses on a 23-year-old woman who experienced severe neurological and systemic issues after cocaine use, including coma and multiple organ dysfunction.
- The study emphasizes the management of her condition, including stabilization, diagnostic strategies, and considerations for prognosis regarding disorders of consciousness.
The Great Mimicker: A Unique Case of Diffuse Subarachnoid Haemorrhage Simulating Acute Myocardial Infarction.
Eur J Case Rep Intern Med
July 2024
Pulmonary and Critical Care Medicine, St. Joseph's University Medical Center, Paterson, USA.
Unlabelled: Subarachnoid haemorrhage (SAH) is a rare yet consequential medical emergency that may mimic an acute myocardial infarction (MI). SAH causes enhanced sympathetic activity, culminating in the development of neurogenic stunned myocardium (NSM), which presents as ST-segment deviations, prolonged QT intervals, T-wave inversions or Q-waves. Reperfusion therapy is contraindicated for SAH because of an increased risk of bleeding and death.
View Article and Find Full Text PDFHigh Plasma D-Dimer Levels Correlate with Ictal Infarction and Poor Outcomes in Spontaneous Subarachnoid Hemorrhage.
World Neurosurg
October 2024
Department of Neurosurgery, Osaka Mishima Emergency Critical Care Center, Takatsuki, Japan; Department of Anesthesiology, Osaka Saiseikai Suita Hospital, Suita, Japan.
Background: Early brain injury is the leading cause of poor outcomes in spontaneous subarachnoid hemorrhage (sSAH). Plasma D-dimer levels and acute cerebral ischemia have been highlighted as relevant findings in early brain injury; however, their correlation has not been substantially investigated.
Methods: This retrospective, single-center cohort study was conducted at a tertiary emergency medical center from January 2004 to June 2022.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!