Hamilton Steven, Tauseen Rana A, Wallach Sara L, Kaplan Adam C
Internal Medicine, Jersey Shore University Medical Center/Saint Francis Medical Center Program, Trenton, USA.
Cureus. 2021 Jun 29;13(6):e16023. doi: 10.7759/cureus.16023. eCollection 2021 Jun.
Acute cerebral injuries are often accompanied by sudden electrocardiogram (ECG) changes such as cardiac arrhythmias, QT prolongation, and abnormal T-wave morphology. One rare phenomenon is "cerebral T-waves", which are T-waves observed in the context of stroke and described as transient, symmetric, and deeply inverted. The classic cerebral T wave is defined as a T-wave inversion of ≥5 mm depth in at least four contiguous precordial leads, and it is more commonly observed in the setting of acute ischemic stroke rather than hemorrhagic stroke. We describe the case of a patient who initially presented with acute pulmonary edema, T-wave inversions in the precordial leads, and left ventricular dysfunction on echocardiogram raising suspicion of an ischemic cardiac event. However, a brain CT scan performed on the third day of admission proved us wrong.
急性脑损伤常伴有心电图（ECG）的突然变化，如心律失常、QT间期延长和T波形态异常。一种罕见的现象是“脑性T波”，即在中风情况下观察到的T波，其特点是短暂、对称且深倒置。经典的脑性T波定义为至少四个相邻胸前导联中T波倒置深度≥5毫米，且在急性缺血性中风而非出血性中风的情况下更常见。我们描述了一名患者的病例，该患者最初表现为急性肺水肿、胸前导联T波倒置以及超声心动图显示左心室功能障碍，这引起了对缺血性心脏事件的怀疑。然而，入院第三天进行的脑部CT扫描证明我们的判断是错误的。
