Coronary vasospasm following subarachnoid hemorrhage as a cause of stunned myocardium. Case report

A patient with subarachnoid hemorrhage was found to have electrocardiographic abnormalities resembling an acute myocardial infarction as well as left ventriculographic findings of cardiac dysfunction. These cardiac abnormalities resolved following surgical clipping of the aneurysm and the patient re...

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Published inJournal of neurosurgery Vol. 75; no. 2; p. 308
Main Authors Yuki, K, Kodama, Y, Onda, J, Emoto, K, Morimoto, T, Uozumi, T
Format Journal Article
LanguageEnglish
Published United States 01.08.1991
Subjects
Aged
Coronary Vasospasm - diagnosis
Coronary Vasospasm - etiology
Electrocardiography
Female
Humans
Subarachnoid Hemorrhage - complications
Subarachnoid Hemorrhage - surgery
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Summary:A patient with subarachnoid hemorrhage was found to have electrocardiographic abnormalities resembling an acute myocardial infarction as well as left ventriculographic findings of cardiac dysfunction. These cardiac abnormalities resolved following surgical clipping of the aneurysm and the patient recovered well from the operation. She died 2 months later from cancer and a postmortem examination at that time revealed no evidence of myocardial necrosis. In this report, the authors discuss coronary vasospasm and reversible postischemic "stunned myocardium," a condition that has not been considered previously in relation to subarachnoid hemorrhage.
ISSN:0022-3085
DOI:10.3171/jns.1991.75.2.0308