Document Detail

Neurogenic cardiopulmonary complications associated with spontaneous cerebellar hemorrhage.
MedLine Citation:
PMID:  17968523     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Neurogenic cardiopulmonary complications associated with acute brain injury other then subarachnoid hemorrhage were seldom reported, especially in the pediatric population. We report a child who developed cardiac arrhythmia, severe myocardial injury and neurogenic pulmonary edema after cerebellar hemorrhage. METHODS AND RESULTS: An 11-year-old girl had abrupt onset of spontaneous cerebellar hemorrhage presented with a fulminant picture of hypertension, supraventricular tachyarrhythmia, markedly elevated cardiac enzyme (troponin-I > 50 ng/ml), and acute pulmonary edema. The cardiopulmonary complications were deemed neurogenic because of their rapid onset after brain injury and exclusion of external blunt chest injury, resuscitative injury, and risks for underlying cardiac disease. CONCLUSIONS: In addition to SAH, severe neurogenic cardiopulmonary complications could develop in pediatric patients with cerebellar hemorrhage. Supraventricular tachycardia may be an uncommon presenting rhythm that warrants considering cerebral etiology in patients without apparent cardiac risk.
Yui-Rwei Young; Chien-Chang Lee; Bor-Fuh Sheu; Shy-Shin Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurocritical care     Volume:  7     ISSN:  1541-6933     ISO Abbreviation:  Neurocrit Care     Publication Date:  2007  
Date Detail:
Created Date:  2007-11-16     Completed Date:  2008-03-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156086     Medline TA:  Neurocrit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-40     Citation Subset:  IM    
Department of Emergency Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, Taiwan.
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MeSH Terms
Cardiomyopathies / etiology*
Cerebellar Diseases / complications*,  diagnosis,  therapy
Intracranial Hemorrhages / complications*,  diagnosis*,  therapy
Pulmonary Edema / etiology*
Tachycardia, Supraventricular / etiology*

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