This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.
Myocardial injury patterns in acute disorders of the central nervous system vary from transient cardiac stunning to primarily subendocardial myonecrosis.1 Myocardial injury has been attributed to sympathetic overdrive. Coronary vasospasm may be implicated in some patients without coronary artery disease. We report a patient without significant coronary artery disease who developed myocardial injury after a medullary hemorrhage.
Case report.
A 48-year-old woman presented with the sudden onset of nausea, vertigo, and diplopia. She described environmental “tilting,” which worsened when standing. Her left arm became numb and clumsy 1 hour after these symptoms began.
On admission, her pulse rate was 90 beats/min and her blood pressure was 140/70 mm Hg. Cardiovascular examination was normal. Pupils were equal in size, symmetric, and reacted briskly. Fundoscopy findings were normal. Extraocular movements showed saccadic pursuits, and counterclockwise rotatory nystagmus was present on primary gaze. Mild hypoesthesia was found over the left side of the face, with loss of the corneal reflex. …
AAN Members
We have changed the login procedure to improve access between AAN.com and the Neurology journals. If you are experiencing issues, please log out of AAN.com and clear history and cookies. (For instructions by browser, please click the instruction pages below). After clearing, choose preferred Journal and select login for AAN Members. You will be redirected to a login page where you can log in with your AAN ID number and password. When you are returned to the Journal, your name should appear at the top right of the page.
AAN Non-Member Subscribers
Purchase access
Letters: Rapid online correspondence
- Myocardial injury after hemorrhage into the lateral medulla oblongata
REQUIREMENTS
You must ensure that your Disclosures have been updated within the previous six months. Please go to our Submission Site to add or update your Disclosure information.
Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment.
If you are responding to a comment that was written about an article you originally authored:
You (and co-authors) do not need to fill out forms or check disclosures as author forms are still valid
and apply to letter.
Submission specifications:
- Submissions must be < 200 words with < 5 references. Reference 1 must be the article on which you are commenting.
- Submissions should not have more than 5 authors. (Exception: original author replies can include all original authors of the article)
- Submit only on articles published within 6 months of issue date.
- Do not be redundant. Read any comments already posted on the article prior to submission.
- Submitted comments are subject to editing and editor review prior to posting.
