Abstract
We present here a case of atypical Takotsubo cardiomyopathy arising as a result of a lesion in the medulla oblongata. The patient was diagnosed with acute disseminated encephalomyelitis, and had improvement with intravenous steroids.
References
Ramaraj R, Movahed MR (2010) Reverse or inverted Takotsubo cardiomyopathy (reverse left ventricular apical ballooning syndrome) presents at a younger age compared with the mid or apical variant and is always associated with triggering stress. Congest Heart Fail 16(6):284–286. doi:10.1111/j.1751-7133.2010.00188.x
Javed A, Khan O (2014) Acute disseminated encephalomyelitis. Handb Clin Neurol 123:705–717. doi:10.1016/B978-0-444-53488-0.00035-3
Takazawa T, Ikeda K, Kano O, Kabuki T, Kawabe K, Iwasaki Y (2014) A case of sinus arrest and post-hiccup cough syncope in medullary infarction. J Stroke Cerebrovasc Dis 23(3):566–571. doi:10.1016/j.jstrokecerebrovasdis.2013.04.016
Webb T, Reyna T, Blair R, Foreman R (2014) Multiple Sclerosis exacerbation presenting as Stress Cardiomyopathy. Neurology 82(suppl 10):P6–162
Ennezat PV, Pesenti-Rossi D, Aubert JM, Rachenne V, Bauchart JJ, Auffray JL, Logeart D, Cohen-Solal A, Asseman P (2005) Transient left ventricular basal dysfunction without coronary stenosis in acute cerebral disorders: a novel heart syndrome (inverted Takotsubo). Echocardiography 22(7):599–602. doi:10.1111/j.1540-8175.2005.40046.x
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest and no financial disclosures.
Rights and permissions
About this article
Cite this article
Venkatraman, A., Bajaj, N.S., Khawaja, A. et al. Cardiogenic shock from atypical Takotsubo cardiomyopathy attributed to acute disseminated encephalomyelitis lesion involving the medulla. Clin Auton Res 26, 149–151 (2016). https://doi.org/10.1007/s10286-016-0346-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10286-016-0346-x