Subarachnoid haemorrhage with transient myocardial injury and normal coronary arteries

We present a case of cerebral subarachnoid haemorrhage, with T-wave inversions and myocardial akinesia on echocardiography and ventriculography. Acute coronary angiography showed normal arteries. An aneurysm of the right middle cerebral artery was clamped. Echocardiogram was normalized. We discuss coronary spasm as the possible mechanism of myocardial stunning in subarachnoid haemorrhage.