Neurogenic stunned myocardium as a manifestation of encephalitis involving cerebellar tonsils.
Neurogenic stunned myocardium is defined as a myocardial injury or dysfunction after neurological insults. It is most commonly reported in patients with subarachnoid hemorrhage, and the presenting symptoms may mimic an acute myocardial infarction or myocarditis. In severe cases, cardiogenic shock and acute pulmonary edema may occur and lead to a devastating event. Therefore, it requires prompt recognition and proper intervention. We herein report the case of a 25-year-old woman who presented to our hospital with the symptoms of acute pulmonary edema, shock, and consciousness disturbance. The diagnosis of encephalitis of cerebellar tonsils complicated with acute hydrocephalus and neurogenic stunned myocardium was made. Detailed neurologic examinations, neuroimaging studies, and characteristic echocardiographic changes expedite the correct diagnosis and treatment.
Department of Neurology, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Wen-Sou
WS
Lin
Yueh-Feng
YF
Sung
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D002526:Cerebellar Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D038524:Diffusion Magnetic Resonance Imaging; D004660:Encephalitis / Q000150:complications*; D005260:Female; D006801:Humans; D017682:Myocardial Stunning / Q000175:diagnosis* / Q000209:etiology; D059906:Neuroimaging; D014057:Tomography, X-Ray Computed