title: Neurogenic cardiopulmonary complications associated with spontaneous cerebellar hemorrhage.
abstract: BACKGROUND
  Neurogenic cardiopulmonary complications associated with acute brain injury other then subarachnoid hemorrhage were seldom reported, especially in the pediatric population. We report a child who developed cardiac arrhythmia, severe myocardial injury and neurogenic pulmonary edema after cerebellar hemorrhage.
  
  
  RESULTS
  An 11-year-old girl had abrupt onset of spontaneous cerebellar hemorrhage presented with a fulminant picture of hypertension, supraventricular tachyarrhythmia, markedly elevated cardiac enzyme (troponin-I > 50 ng/ml), and acute pulmonary edema. The cardiopulmonary complications were deemed neurogenic because of their rapid onset after brain injury and exclusion of external blunt chest injury, resuscitative injury, and risks for underlying cardiac disease.
  
  
  CONCLUSIONS
  In addition to SAH, severe neurogenic cardiopulmonary complications could develop in pediatric patients with cerebellar hemorrhage. Supraventricular tachycardia may be an uncommon presenting rhythm that warrants considering cerebral etiology in patients without apparent cardiac risk.
authors.affiliation: Department of Emergency Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
authors.forename: Yui-Rwei
authors.initials: YR
authors.lastname: Young
authors.forename: Chien-Chang
authors.initials: CC
authors.lastname: Lee
authors.forename: Bor-Fuh
authors.initials: BF
authors.lastname: Sheu
authors.forename: Shy-Shin
authors.initials: SS
authors.lastname: Chang
mesh_terms: D009202:Cardiomyopathies / Q000209:etiology*; D002526:Cerebellar Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002648:Child; D005260:Female; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D011654:Pulmonary Edema / Q000209:etiology*; D013617:Tachycardia, Supraventricular / Q000209:etiology*