Electrocardiographic changes in cerebrovascular hemorrhage.

The electrocardiographic abnormalities found in localized cerebrovascular hemorrhage which have been documented by computerized tomography (CT) scans are described. Frontal lobe hemorrhages are associated especially with the electrocardiographic abnormalities of QT prolongation and neurogenic T waves. Brain stem hemorrhage seems to be associated with noncardiogenic pulmonary edema, and sudden development of atrial fibrillation. It is proposed that the cause of ECG abnormalities in association with lesions in the vicinity of area 13 on the orbital surface of the frontal lobe, or around the circle of Willis, results from alterations in sympathetic and parasympathetic tone mediated by fibers from the orbito-frontal area to the heart via the stellate ganglia.