title: Variant Neurogenic Stunned Myocardium in a Young Female After Subarachnoid Hemorrhage.
abstract: Neurogenic stunned myocardium is a significant complication of subarachnoid hemorrhage. Diagnosis of neurogenic stunned myocardium is complicated by variable presentation. We present a case of a 23-year-old woman admitted with a subarachnoid hemorrhage from an arteriovenous malformation and associated aneurysm. Postoperatively, she developed pulmonary edema and mildly elevated cardiac biomarkers. Echocardiography showed hypokinesis of the basal left ventricular segments and normal contraction of the apical left ventricular segments consistent with a variant form of neurogenic stunned myocardium. We describe characteristics and outcomes of neurogenic stunned myocardium in this young patient with arteriovenous malformation-associated aneurysmal subarachnoid hemorrhage.
authors.affiliation: From the *Department of Neurocritical Care and Anesthesiology, Ochsner Medical Center, New Orleans, Louisiana; †Department of Anesthesiology, ‡Department of Neurosurgery, and §Department of Medicine, University of Florida, Gainesville, Florida.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Mahanna
authors.forename: David A
authors.initials: DA
authors.lastname: Edwards
authors.forename: Nicki
authors.initials: N
authors.lastname: Tarante
authors.forename: Maryam
authors.initials: M
authors.lastname: Rahman
authors.forename: John W
authors.initials: JW
authors.lastname: Petersen
authors.forename: Azra
authors.initials: A
authors.lastname: Bihorac
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications* / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D007022:Hypotension / Q000209:etiology; D002538:Intracranial Arteriovenous Malformations / Q000150:complications* / Q000601:surgery; D019586:Intracranial Hypertension / Q000209:etiology / Q000601:surgery; D017682:Myocardial Stunning / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology; D011654:Pulmonary Edema / Q000209:etiology; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000601:surgery; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology; D055815:Young Adult