Register for email alerts and news feeds:
This journal | BMJ Group
rss
Journal of Neurology, Neurosurgery, and Psychiatry 2008;79:480-481; doi:10.1136/jnnp.2007.133975
Copyright © 2008 by the BMJ Publishing Group Ltd.

POSTSCRIPT

Letters

Bilateral vertebral artery dissection and infratentorial stroke complicated by stress-induced cardiomyopathy

T Seifert1, E Klein2, S Legat-Wallner1, U Krenn1, H Brussee3, A Lueger4, K Niederkorn1 and F Fazekas1

1 Department of Neurology, Medical University Graz, Graz, Austria
2 Department of Neuroradiology, Medical University Graz, Graz, Austria
3 Department of Cardiology, Medical University Graz, Graz, Austria
4 Department of Internal Medicine, Medical University Graz, Graz, Austria

Correspondence to:
Dr Thomas Seifert, Department of Neurology, Medical University Graz, Auenbruggerplatz 22, A-8036 Graz, Austria; thomas.seifert@meduni-graz.at

The first 150 words of the full text of this article appear below.

A previously healthy 28-year-old Caucasian woman experienced a syncope and was referred to our emergency department. On admission, the patient was neurologically normal and alert. Electrocardiogram (ECG) was normal. Peripheral blood count and blood chemistry, including C-reactive protein and cardiac troponin T, were within normal limits. The patient revealed no history of drug or alcohol abuse. Testing for opiates, benzodiazepines, tricyclic antidepressants and metamphetamine in urine was negative. During the initial clinical assessment, the patient suddenly developed dysarthria, nystagmus on bilateral gaze, left hypoglossal paresis and left arm weakness. Head CT and intracranial CT angiography were performed immediately and revealed no pathology. Following the CT scan, the patient developed acute dyspnoea and hypoxia, and required immediate intubation. ECG now showed high T-waves in precordial leads and cardiac troponin T was measured as 0.93 ng/ml (normal range below 0.03 ng/ml). Transthoracic echocardiography revealed a highly reduced left ventricular ejection fraction . . . [Full text of this article]


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?

This Article

Services
Citing Articles
Google Scholar
PubMed
Bookmark with

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

BMJ Careers - Latest neurology and neurosurgery jobs

Neurology and neurosurgery jobs