A Case of Reverse Takotsubo Cardiomyopathy Incited by a Spinal Subdural Hematoma
Joint Authors
Sanchez, Kyle
Glener, Steven
Esplin, Nathan E.
Okorie, Okorie N.
Parikh, Amay
Source
Case Reports in Neurological Medicine
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Sanchez, Kyle& Glener, Steven& Esplin, Nathan E.& Okorie, Okorie N.& Parikh, Amay. 2019. A Case of Reverse Takotsubo Cardiomyopathy Incited by a Spinal Subdural Hematoma. Case Reports in Neurological Medicine،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141412
Modern Language Association (MLA)
Sanchez, Kyle…[et al.]. A Case of Reverse Takotsubo Cardiomyopathy Incited by a Spinal Subdural Hematoma. Case Reports in Neurological Medicine No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1141412
American Medical Association (AMA)
Sanchez, Kyle& Glener, Steven& Esplin, Nathan E.& Okorie, Okorie N.& Parikh, Amay. A Case of Reverse Takotsubo Cardiomyopathy Incited by a Spinal Subdural Hematoma. Case Reports in Neurological Medicine. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141412
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141412