年轻女性蛛网膜下腔出血后出现的变异型神经源性心肌顿抑

Variant Neurogenic Stunned Myocardium in a Young Female After Subarachnoid Hemorrhage.

作者信息

Mahanna Elizabeth, Edwards David A, Tarante Nicki, Rahman Maryam, Petersen John W, Bihorac Azra

机构信息

From the *Department of Neurocritical Care and Anesthesiology, Ochsner Medical Center, New Orleans, Louisiana; †Department of Anesthesiology, ‡Department of Neurosurgery, and §Department of Medicine, University of Florida, Gainesville, Florida.

出版信息

A A Case Rep. 2016 Jan 1;6(1):10-3. doi: 10.1213/XAA.0000000000000172.

DOI:10.1213/XAA.0000000000000172

PMID:26422453

Abstract

Neurogenic stunned myocardium is a significant complication of subarachnoid hemorrhage. Diagnosis of neurogenic stunned myocardium is complicated by variable presentation. We present a case of a 23-year-old woman admitted with a subarachnoid hemorrhage from an arteriovenous malformation and associated aneurysm. Postoperatively, she developed pulmonary edema and mildly elevated cardiac biomarkers. Echocardiography showed hypokinesis of the basal left ventricular segments and normal contraction of the apical left ventricular segments consistent with a variant form of neurogenic stunned myocardium. We describe characteristics and outcomes of neurogenic stunned myocardium in this young patient with arteriovenous malformation-associated aneurysmal subarachnoid hemorrhage.

摘要

神经源性休克心肌是蛛网膜下腔出血的一种重要并发症。神经源性休克心肌的诊断因表现多样而复杂化。我们报告一例23岁女性，因动静脉畸形和相关动脉瘤导致蛛网膜下腔出血入院。术后，她出现肺水肿且心脏生物标志物轻度升高。超声心动图显示左心室基底段运动减弱，左心室心尖段收缩正常，符合神经源性休克心肌的一种变异形式。我们描述了这位患有动静脉畸形相关动脉瘤性蛛网膜下腔出血的年轻患者神经源性休克心肌的特征和转归。