Wittebole Xavier, Hantson Philippe, Laterre Pierre-François, Galvez Ricardo, Duprez Thierry, Dejonghe Daniel, Renkin Jean, Gerber Bernhard L, Brohet Christian R
Department of Intensive Care, University Hosital Saint-Luc, Catholic University of Louvain, Brussels 1200, Belgium.
J Electrocardiol. 2005 Jan;38(1):77-81. doi: 10.1016/j.jelectrocard.2004.09.004.
We report the case of a patient who developed, a few days after a closed head injury, marked electrocardiographic changes mimicking an acute coronary event, in the absence of actual cardiac damage. The electrocardiographic changes were fully reversible, paralleling the neurologic status. Neuroimaging examinations excluded subarachnoid hemorrhage or space-occupying hematoma, but demonstrated diffuse axonal injury using susceptibility-weighted magnetic resonance techniques. This kind of traumatic brain injury thus may be responsible for a pseudo-acute myocardial ischemic syndrome.
我们报告了一例患者，该患者在闭合性颅脑损伤几天后出现了类似急性冠状动脉事件的明显心电图变化，但实际上并无心脏损伤。心电图变化完全可逆，与神经状态平行。神经影像学检查排除了蛛网膜下腔出血或占位性血肿，但通过磁敏感加权磁共振技术显示存在弥漫性轴索损伤。因此，这种创伤性脑损伤可能是假性急性心肌缺血综合征的病因。
