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Seizure Associated Takotsubo Syndrome: A Rare Combination
Joint Authors
Aljariri Alhesan, Nour
Kyi, Htay Htay
Upadhaya, Sunil
Al Hadidi, Samer
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-24
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Takotsubo cardiomyopathy (TC) is increasingly recognized in neurocritical care population especially in postmenopausal females.
We are presenting a 61-year-old African American female with past medical history of epilepsy, bipolar disorder, and hypertension who presented with multiple episodes of seizures due to noncompliance with antiepileptic medications.
She was on telemetry which showed ST alarm.
Electrocardiogram (ECG) was ordered and showed ST elevation in anterolateral leads and troponins were positive.
Subsequently Takotsubo cardiomyopathy was diagnosed by left ventriculography findings and absence of angiographic evidence of obstructive coronary artery disease.
Echocardiogram showed apical hypokinesia, ejection fraction of 40%, and systolic anterior motion of mitral valve with hyperdynamic left ventricle, in the absence of intracoronary thrombus formation in the angiogram.
Electroencephalography showed evidence of generalized tonic-clonic seizure.
She was treated with supportive therapy.
This case illustrates importance of ECG in all patients with seizure irrespective of cardiac symptoms as TC could be the cause of Sudden Unexpected Death in Epilepsy (SUDEP) and may be underdiagnosed and so undertreated.
American Psychological Association (APA)
Kyi, Htay Htay& Aljariri Alhesan, Nour& Upadhaya, Sunil& Al Hadidi, Samer. 2017. Seizure Associated Takotsubo Syndrome: A Rare Combination. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1144205
Modern Language Association (MLA)
Kyi, Htay Htay…[et al.]. Seizure Associated Takotsubo Syndrome: A Rare Combination. Case Reports in Cardiology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1144205
American Medical Association (AMA)
Kyi, Htay Htay& Aljariri Alhesan, Nour& Upadhaya, Sunil& Al Hadidi, Samer. Seizure Associated Takotsubo Syndrome: A Rare Combination. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1144205
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1144205