Clinical Practice and Cases in Emergency Medicine
The Neurocardiogenic Spectrum in Subarachnoid Hemorrhage: A Case Report and Review of the Literature
- Author(s): Mansella, Gregory
- Jeger, Raban
- Bingisser, Roland
- Nickel, Christian H.
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2016.11.32582
A 36-year-old man was brought to our emergency department after successful resuscitation ofout-of-hospital cardiac arrest with the whole spectrum of neurocardiogenic effects in subarachnoidhemorrhage: electrocardiographic changes, regional wall motion abnormalities, and elevationsof cardiac enzymes. Coronary angiography revealed normal coronary arteries but showed themidventricular type of Takotsubo cardiomyopathy in the left ventriculography. Subsequently, cerebralcomputed tomography revealed diffuse subarachnoid hemorrhage and generalized cerebraledema with brain herniation. Brain death was diagnosed. This case highlights the possibility of anacute cerebral illness (especially subarachnoid hemorrhage) as an underlying cause of cardiacabnormalities mimicking myocardial ischemia.