Key result
Status migrainosus may act as a stressor precipitating takotsubo cardiomyopathy, as demonstrated in a 25-year-old female who made an excellent recovery with supportive management.
Case Report (n=1)
This is the first reported case suggesting that the intense pain of status migrainosus may act as a stressor precipitating takotsubo cardiomyopathy.
BACKGROUND: Takotsubo cardiomyopathy is a form of non-ischemic cardiomyopathy that may be acutely precipitated by stress. A number of neurologic conditions have been implicated in precipitating this disease such as subarachnoid hemorrhage, stroke, and seizures. Its association with status migrainosus, however, has never been described before. CASE: We report a case of a 25-year-old female presenting with status migrainosus followed by takotsubo cardiomyopathy. Supportive management was instituted in this patient and she made an excellent recovery. CONCLUSION: The intense pain associated with migraine may have acted as a stressor, thereby precipitating takotsubo cardiomyopathy. To our knowledge, this is the first reported case demonstrating a relationship between status migrainosus and takotsubo cardiomyopathy.
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Jalan et al. (2012) conducted a case report in Status migrainosus and takotsubo cardiomyopathy (n=1). Status migrainosus was evaluated on Takotsubo cardiomyopathy. Status migrainosus may act as a stressor precipitating takotsubo cardiomyopathy, as demonstrated in a 25-year-old female who made an excellent recovery with supportive management.
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