Cerebral T waves

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Cerebral T waves are large T wave inversions and are likely the result of a sympathetic surge causing repolarization abnormalities. Cerebral T waves are rare and generally resolve over time.

Examples

ECG Showing Cerebral T waves

Cerebral T waves

The diffuse "roller coaster" T wave inversions and prolonged QT inteveral were due to a pontine hemorrhage.
ECG Showing Cerebral T waves

Cerebral T waves

The anterior precordial T wave inversions were due to a devastating subarachnoid hemorrhage.

References

  1. Burch GE, Meyes R, Abildskov JA. A new electrocardiographic pattern observed in cerebrovascular accidents. Circulation. 1954;9(5):719-723.
  2. Stone J, Mor-Avi V, Ardelt A, Lang RM. Frequency of Inverted Electrocardiographic T Waves (Cerebral T Waves) in Patients With Acute Strokes and Their Relation to Left Ventricular Wall Motion Abnormalities. American Journal of Cardiology. 2018;121(1):120-124.