An Adult Female with Obstructive Hydrocephalus who Presented with Neurogenic Stunned Myocardium during a Neuroendoscopic Procedure: A Case Report

Authors

  • Mark Willis L. Malaki Department of Anesthesiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Karl Matthey C. Sy Su Department of Anesthesiology, College of Medicine and Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v56i18.5671

Keywords:

endoscopic surgical procedures, cardiac arrhythmias, supraventricular tachycardia, myocardial stunning, obstructive hydrocephalus

Abstract

Neurogenic stunned myocardium (NSM) is a condition wherein a neurologic pathology results in myocardial injury.
This is a case of an adult patient who developed intraoperative NSM presenting as hypertension and tachycardia
progressing to supraventricular tachycardia and ST-elevation during an emergency endoscopic septostomy, biopsy and ventricular peritoneal shunt (VPS) insertion. It is important for the anesthesiologist to be familiar with this condition to ensure prompt recognition and management as well as to avoid significant morbidity and mortality.

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Published

2022-10-12

How to Cite

1.
An Adult Female with Obstructive Hydrocephalus who Presented with Neurogenic Stunned Myocardium during a Neuroendoscopic Procedure: A Case Report. Acta Med Philipp [Internet]. 2022 Oct. 12 [cited 2025 Apr. 7];56(18). Available from: https://actamedicaphilippina.upm.edu.ph/index.php/acta/article/view/5671