This case report highlights the occurrence of neurogenic stunned myocardium following intraparenchymal hemorrhage and its implications for anesthetic management.
Case of intraoperative neurogenic stunned myocardium post-hemorrhage alerts to perioperative cardiac monitoring; leaves open longitudinal recovery patterns and management.
Cardiac dysfunction occurring secondary to neurologic disease, termed neurogenic stunned myocardium, is an incompletely understood phenomenon that has been described after several distinct neurologic processes. We present a case of neurogenic stunned myocardium, discovered intraoperatively after anesthetic induction, in a patient who presented to our operating room with a recent intraparenchymal hemorrhage. We discuss the longitudinal cardiac functional course after neurogenic stunned myocardium. Finally, we discuss the pathophysiology of neurogenic stunned myocardium, as well as its implications for anesthesiologists caring for neurosurgical patients.
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Krishnamoorthy et al. (2016) studied this question.
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