Alados Arboledas F J, Millán-Miralles L, Millán-Bueno M P, Expósito-Montes J F, Santiago-Gutierrez C, Martínez Padilla M C
Cardiología Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España.
Unidad de Cuidados Intensivos Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España.
Rev Esp Anestesiol Reanim. 2015 Oct;62(8):472-6. doi: 10.1016/j.redar.2014.10.010. Epub 2014 Dec 16.
Neurogenic stunned myocardium is an unusual clinical entity. It mimics an acute coronary syndrome with electrocardiographic abnormalities, cardiac dysfunction and elevated cardiac enzymes with absence of obstructive coronary disease. It may occur after a neurosurgical procedure. A case is presented of neurogenic stunned myocardium occurring in a child after removal of a posterior fossa medulloblastoma. The patient developed nodal tachycardia with hemodynamic impairment. The clinical course was satisfactory due to antiarrhythmic therapy, with biochemical, echocardiographic, and clinical improvement within a week.
神经源性心肌顿抑是一种不常见的临床病症。它表现为类似急性冠状动脉综合征，伴有心电图异常、心脏功能障碍和心肌酶升高，而无阻塞性冠状动脉疾病。它可能发生在神经外科手术后。本文报告一例在后颅窝髓母细胞瘤切除术后儿童发生神经源性心肌顿抑的病例。该患者出现伴有血流动力学损害的结性心动过速。由于抗心律失常治疗，临床病程良好，一周内生化指标、超声心动图及临床症状均有改善。
