Neurogenic cardiopulmonary complications associated with spontaneous cerebellar hemorrhage

Yui Rwei Young, Chien Chang Lee, Bor Fuh Sheu, Shy Shin Chang

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)238-240
Number of pages3
JournalNeurocritical Care
Volume7
Issue number3
DOIs
Publication statusPublished - Dec 1 2007
Externally publishedYes

Fingerprint

Pulmonary Edema
Hemorrhage
Brain Injuries
Pediatrics
Thoracic Injuries
Nonpenetrating Wounds
Supraventricular Tachycardia
Troponin I
Wounds and Injuries
Subarachnoid Hemorrhage
Tachycardia
Cardiac Arrhythmias
Heart Diseases
Hypertension
Enzymes
Population

Keywords

  • Neurogenic myocardial injury
  • Neurogenic pulmonary edema
  • Spontaneous cerebellar hemorrhage
  • Supraventricular tachycardia

ASJC Scopus subject areas

  • Clinical Neurology
  • Critical Care and Intensive Care Medicine

Cite this

Neurogenic cardiopulmonary complications associated with spontaneous cerebellar hemorrhage. / Young, Yui Rwei; Lee, Chien Chang; Sheu, Bor Fuh; Chang, Shy Shin.

In: Neurocritical Care, Vol. 7, No. 3, 01.12.2007, p. 238-240.

Research output: Contribution to journalArticle

Young, Yui Rwei ; Lee, Chien Chang ; Sheu, Bor Fuh ; Chang, Shy Shin. / Neurogenic cardiopulmonary complications associated with spontaneous cerebellar hemorrhage. In: Neurocritical Care. 2007 ; Vol. 7, No. 3. pp. 238-240.
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