Case Report: Takotsubo Cardiomyopathy in Bickerstaff Brainstem Encephalitis Triggered by COVID-19.
Bickerstaff brainstem encephalitis
Takotsubo cardiomyopathy
anti-GQ1b ganglioside antibody
coronavirus disease 2019
hemodynamic instability
intravenous immunoglobulin therapy
transthoracic echocardiogram
Journal
Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899
Informations de publication
Date de publication:
2021
2021
Historique:
received:
25
11
2021
accepted:
08
12
2021
entrez:
10
1
2022
pubmed:
11
1
2022
medline:
11
1
2022
Statut:
epublish
Résumé
Takotsubo cardiomyopathy (TCM) is a stress-induced cardiomyopathy triggered by critical illness including severe neurological disorders. However, an association between TCM and Bickerstaff brainstem encephalitis (BBE) has rarely been described. During the current coronavirus disease 2019 (COVID-19) pandemic, growing evidence indicates that COVID-19 often leads to various neurological disorders, but there are few reports of an association between COVID-19 and BBE. Here we report a case of TCM associated with BBE triggered by COVID-19, which subsided with immunotherapy for BBE. Both transthoracic echocardiography and electrocardiography led to early and accurate diagnosis of TCM. Sustained hemodynamic instability due to TCM was immediately lessened with immunotherapy whereas additional plasmapheresis and immunotherapy were required to treat BBE. This case indicates that BBE might follow COVID-19 and TCM should be considered when hemodynamic status remains unstable in a patient with BBE.
Identifiants
pubmed: 35002947
doi: 10.3389/fneur.2021.822247
pmc: PMC8741194
doi:
Types de publication
Case Reports
Langues
eng
Pagination
822247Informations de copyright
Copyright © 2021 Kimura, Hashiguchi, Tanaka, Hagiwara, Takahashi, Miyaji, Joki, Doi, Koga, Takeuchi and Tanaka.
Déclaration de conflit d'intérêts
HT is an Associate Editor of Frontiers in Neurology and Frontiers in Immunology. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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