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Case Reports
. 2022 Feb 2;35(3):371-373.
doi: 10.1080/08998280.2022.2027739. eCollection 2022.

Takotsubo cardiomyopathy following a simple partial seizure

Marc Saouma  1   2 , Chadi Allam  1   2 , Michel Chedid El Helou  1 , Zeina Kadri  1   2 , Georges Badaoui  1   2
Affiliations
Case Reports

Takotsubo cardiomyopathy following a simple partial seizure

Marc Saouma et al. Proc (Bayl Univ Med Cent). .

Abstract

A 67-year-old woman presented to the emergency department for a simple partial seizure of her left upper and lower limbs that lasted for 1 hour and ultimately resolved before her presentation. She had no history of coronary artery disease, and her neurological exam was normal. Five hours later, she complained of chest pain. An electrocardiogram showed ST segment elevation in the lateral leads, and her troponin level was increased. She was diagnosed with takotsubo cardiomyopathy. This case reflects the brain-heart connection and is the first reported case of takotsubo cardiomyopathy following a simple partial seizure.

Keywords: Echocardiography; epilepsy; neurogenic stunned myocardium; takotsubo cardiomyopathy; ultrasound.

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Figures

Figure 1.
Figure 1.
Electrocardiogram on presentation showing ST segment elevation in the lateral (orange arrows) and septal leads with mirror image in the inferior leads (blue arrows).
Figure 2.
Figure 2.
Echocardiography, apical four-chamber view (a) on presentation, showing apical ballooning (yellow asterisk) and (b) 72 hours after presentation, showing a significant decrease in the apical ballooning. LA indicates left atrium; LV, left ventricle; RA, right atrium.
See this image and copyright information in PMC

References

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