[Intracerebral haematoma during a stress test].
We report the case of a 64 year-old moderately hypertensive patient investigated for dyspnoea on exertion with no chest pain. After informing the patient, an ergometric test following a gentle protocol was performed, according to the French Society of Cardiology guidelines. At the peak of effort the patient developed a sudden left hemiplegia with a right capsulo-thalamic haematoma on cranial CT. No other case has been described and a literature search showed no relationship between physical effort and cerebral haematoma. Following an administrative tribunal enquiry, no medical fault was attributed regarding the indication and performing the test; no failure to inform could be established for a risk that was unknown at the time of the test.
Le Ray
C
C
Service de Cardiologie, CHBA Vannes.
Letournel
F
F
Gervais
R
R
Broussaud
J
J
Muntean
C
C
Chedeville
F
F
Letournel
J
J
D004417:Dyspnea / Q000150:complications; D005080:Exercise Test / Q000009:adverse effects*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008875:Middle Aged; D013786:Thalamic Diseases / Q000209:etiology*