Dec 30, 2011

Neurogenic stunned myocardium as a manifestation of encephalitis involving cerebellar tonsils

The American Journal of Emergency Medicine
Wen-Sou Lin, Yueh-Feng Sung

Abstract

Neurogenic stunned myocardium is defined as a myocardial injury or dysfunction after neurological insults. It is most commonly reported in patients with subarachnoid hemorrhage, and the presenting symptoms may mimic an acute myocardial infarction or myocarditis. In severe cases, cardiogenic shock and acute pulmonary edema may occur and lead to a devastating event. Therefore, it requires prompt recognition and proper intervention. We herein report the case of a 25-year-old woman who presented to our hospital with the symptoms of acute pulmonary edema, shock, and consciousness disturbance. The diagnosis of encephalitis of cerebellar tonsils complicated with acute hydrocephalus and neurogenic stunned myocardium was made. Detailed neurologic examinations, neuroimaging studies, and characteristic echocardiographic changes expedite the correct diagnosis and treatment.

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Citations

Mentioned in this Paper

Cerebellar Diseases
Pulmonary Edema
Diffusion Magnetic Resonance Imaging
Brain
Myocardium
Myocardial Stunning
Myocardial Infarction
Hibernation, Myocardial
Infectious Encephalitis
Cardiomyopathies

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