Neurogenic stunned myocardium in Guillain-Barré syndrome.
Neurogenic stunned myocardium (NSM), a syndrome of reversible left ventricular dysfunction best described after subarachnoid hemorrhage, has not been associated with peripheral neuropathy. We describe a woman with Guillain-Barre syndrome in whom a syndrome compatible with NSM developed in the setting of a physiologically documented increase in sympathetic cardiovascular tone. This case supports the presumed unifying role of excessive sympathetic nervous system activation in the pathogenesis of NSM.
Bernstein
R
R
Department of Neurology, Neurological Institute, Columbia-Presbyterian Medical Center, New York, NY 10032, USA.
Mayer
S A
SA
Magnano
A
A
D000328:Adult; D004569:Electroencephalography; D005260:Female; D020275:Guillain-Barre Syndrome / Q000150:complications / Q000503:physiopathology*; D006321:Heart / Q000503:physiopathology*; D006801:Humans; D018487:Ventricular Dysfunction, Left / Q000150:complications / Q000503:physiopathology*