Key result
Complex antiepileptic and cardiovascular therapy successfully stabilized a 70-year-old woman who developed the rare midventricular variant of Takotsubo syndrome during simple motor seizures.
Case Report (n=1)
This case highlights the occurrence of the midventricular variant of Takotsubo syndrome as a complication of status epilepticus.
May alert clinicians to midventricular Takotsubo after status epilepticus; single case leaves open need for systematic screening.
We present a clinical case of a 70-year-old woman who was urgently admitted to the Department of Neurology with threatening status epilepticus from simple motor seizures in the right half of the face and right hand. Computed tomography of the head visualized a calcified extra axial round formation in the left posterofrontal, possibly a meningioma. On admission and during the symptomatic attacks, dynamic ECG changes were recorded with negative T waves precordially, as well as a dynamic increase in serum troponin. Echocardiography revealed hypokinesia involving the middle segments of the left ventricle. Coronary angiography was performed with no evidence of coronary disease. From the ventriculography hypokinesia of middle segments was found and measured EF 47%. Complex therapy with valproate, dexamethasone, mannitol and clonazepam, levetiracetam, acetizal, a statin and a beta-blocker was initiated. After controlling the epileptic seizures and diagnostic work-up of the cardiovascular status, the patient was referred for neurosurgical treatment of the tumor formation.
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Kunev et al. (2022) conducted a case report in Takotsubo syndrome and status epilepticus (n=1). Complex therapy (antiepileptics and cardiovascular medications) was evaluated on Clinical recovery and stabilization. Complex antiepileptic and cardiovascular therapy successfully stabilized a 70-year-old woman who developed the rare midventricular variant of Takotsubo syndrome during simple motor seizures.
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