[Meningeal hemorrhage disclosed by the initiation of Prinzmetal's angina].
The association of a cardiac disturbance and a subarachnoïd hemorrhage is well known but the cardiac signs seldom look the most important. When studying a case which was very particular because the cardiac signs consisted in a Prinzmetal's variant angina, it finality appears that the Prinzmetal's angina is not so rare as could be thought in such circumstances. Therefore a neurological pathology hidden by a cardiac one has been rarely reported such as it was seen in that case. In the literature, the influence of the parasympathetic and especially the sympathetic nervous system is emphasized as a probable cause of the most frequent cardiac abnormalities. All the authors think the medical cardiac treatment and the surgical treatment of the subarachnoïd hemorrhage have to be done at once.
D000788:Angina Pectoris, Variant / Q000209:etiology*; D003329:Coronary Vasospasm / Q000209:etiology*; D006801:Humans; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000503:physiopathology
Hémorragie méningée révélée par un tableau inaugural d'Angor de Prinzmetal.