title: [Neurogenic stunned myocardium in Pediatrics. A case report].
abstract: Neurogenic stunned myocardium is an unusual clinical entity. It mimics an acute coronary syndrome with electrocardiographic abnormalities, cardiac dysfunction and elevated cardiac enzymes with absence of obstructive coronary disease. It may occur after a neurosurgical procedure. A case is presented of neurogenic stunned myocardium occurring in a child after removal of a posterior fossa medulloblastoma. The patient developed nodal tachycardia with hemodynamic impairment. The clinical course was satisfactory due to antiarrhythmic therapy, with biochemical, echocardiographic, and clinical improvement within a week.
authors.affiliation: Cardiología Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España. Electronic address: fjaladosarbol@hotmail.com.
authors.forename: F J
authors.initials: FJ
authors.lastname: Alados Arboledas
authors.affiliation: Unidad de Cuidados Intensivos Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España.
authors.forename: L
authors.initials: L
authors.lastname: Millán-Miralles
authors.affiliation: Unidad de Gestión Clínica de Anestesiología y Reanimación, Complejo Hospitalario de Jaén, Jaén, España.
authors.forename: M P
authors.initials: MP
authors.lastname: Millán-Bueno
authors.affiliation: Cardiología Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España.
authors.forename: J F
authors.initials: JF
authors.lastname: Expósito-Montes
authors.affiliation: Unidad de Cuidados Intensivos Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España.
authors.forename: C
authors.initials: C
authors.lastname: Santiago-Gutierrez
authors.affiliation: Unidad de Cuidados Intensivos Pediátrica, Unidad de Gestión Clínica de Pediatría, Hospital Materno Infantil, Complejo Hospitalario de Jaén, Jaén, España.
authors.forename: M C
authors.initials: MC
authors.lastname: Martínez Padilla
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis; D000638:Amiodarone / Q000627:therapeutic use; D002528:Cerebellar Neoplasms / Q000601:surgery*; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006408:Hematoma, Subdural / Q000209:etiology; D006801:Humans; D015192:Infratentorial Neoplasms / Q000601:surgery*; D008297:Male; D008527:Medulloblastoma / Q000601:surgery*; D017682:Myocardial Stunning / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D011007:Pneumocephalus / Q000209:etiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000638:Amiodarone
keywords: Arrhythmia; Arritmia; Aturdimiento miocárdico neurogénico; Brain neoplasm; Neurocirugía; Neurogenic stunned myocardium; Neurosurgery; Takotsubo; Tumor cerebral