A Case of Reverse Takotsubo Cardiomyopathy Incited by a Spinal Subdural Hematoma.
Journal
Case reports in neurological medicine
ISSN: 2090-6668
Titre abrégé: Case Rep Neurol Med
Pays: United States
ID NLM: 101576451
Informations de publication
Date de publication:
2019
2019
Historique:
received:
12
03
2019
accepted:
08
07
2019
entrez:
21
8
2019
pubmed:
21
8
2019
medline:
21
8
2019
Statut:
epublish
Résumé
Takotsubo cardiomyopathy is a rare syndrome of transient, reversible left ventricular systolic dysfunction. It mimics myocardial infarction clinically and includes elevated cardiac enzymes, but echocardiography reveals apical ballooning and basal hyperkinesis. Infrequently, midventricular or even reverse Takotsubo patterns have been described, involving ballooning of the basal heart without the characteristic 'Takotsubo' appearance. There are cases in the literature that support a connection between reverse Takotsubo cardiomyopathy (r-TTC) and neurological insults as inciting factors. We report a case of r-TTC in an otherwise healthy 23-year-old man presenting with back pain, urinary retention, bradycardia, and hypertension. Troponin levels and brain natriuretic peptide (BNP) were elevated, and echocardiogram revealed an ejection fraction (EF) of less than 20%. In addition, MRI demonstrated a spinal subdural hematoma from T1-S1 with no cord compression. Repeated echocardiogram demonstrated an EF of 20-25% with a reverse Takotsubo pattern of cardiomyopathy. With supportive care, his clinical picture improved with normalization of cardiac enzyme and BNP values. This case represents a r-TTC presenting as heart failure in a young, apparently healthy male likely incited by a spinal subdural hematoma. To our knowledge, it is the first of its kind reported.
Identifiants
pubmed: 31428488
doi: 10.1155/2019/9285460
pmc: PMC6679891
doi:
Types de publication
Case Reports
Langues
eng
Pagination
9285460Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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