Neurogenic Stunned Myocardium as a Complication of Aneurysmal Subarachnoid Hemorrhage: A Case Report and Lessons for Clinical Practice

Neurogenic stunned myocardium (NSM) is an entity resulting from two factors: left ventricular dysfunction coupled with a neurological condition. In our case, the state of our patient complicated things; she was fatally suffering from a Hunt and Hess grade 2 subarachnoid hemorrhage (SAH), which is not a common scenario. A 62-year-old female patient presented to the emergency department with an intense headache, dysarthria, and left hemiparesis that was attributed to CT findings of a Fisher grade 2 SAH, and the computed tomography angiography (CTA) also showed evidence of a ruptured aneurysm at the basilar artery bifurcation and an incidental aneurysm in the lower third of the basilar artery. NSM and SAH are not a common combination that must be considered for the unpredictable pathway of SAH management. This case underscores the need for early cardiac monitoring in SAH patients, as timely recognition and management of NSM may influence outcomes.