Neurogenic stunned myocardium in Guillain-Barre syndrome

Neurogenic stunned myocardium (NSM), a syndrome of reversible left ventricu lar dysfunction best described after subarachnoid hemorrhage, has not been associated with peripheral neuropathy. We describe a woman with Guillain-Ba rre syndrome in whom a syndrome compatible with NSM developed in the settin g of a physiologically documented increase in sympathetic cardiovascular to ne. This case supports the presumed unifying role of excessive sympathetic nervous system activation in the pathogenesis of NSM.