Key result
A 61-year-old woman developed Takotsubo cardiomyopathy as a complication of non-convulsive status epilepticus, demonstrating that this cardiac complication can occur even without generalized convulsions.
Case Report (n=1)
No
This case highlights the potential for non-convulsive status epilepticus to trigger Takotsubo cardiomyopathy, emphasizing the need for cardiac evaluation in such patients.
May suggest link between non-convulsive status epilepticus and Takotsubo cardiomyopathy; single case leaves open causality and generalizability.
A 61-year-old woman was admitted to our hospital for speech disturbance and mild consciousness impairment. Despite the absence of seizures or loss of consciousness, electroencephalographic abnormalities were observed, and the cerebral blood flow scintigraphy revealed an increase in cerebral blood flow in the left temporal lobe. These findings suggested a diagnosis of non-convulsive status epilepticus. On the third day, a twelve-lead electrocardiogram showed a negative T-wave in I, II, aVf, and V2-6. Moreover, a transthoracic echocardiogram revealed left ventricular apical akinesis. However, the coronary angiography showed no evidence of vascular stenotic lesions. We expect the present case report to contribute to the identification of non-convulsive status epilepticus with Takotsubo cardiomyopathy.
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Uemura et al. (2016) conducted a case report in Non-convulsive status epilepticus and Takotsubo cardiomyopathy (n=1). Non-convulsive status epilepticus was evaluated on Clinical course and development of Takotsubo cardiomyopathy. A 61-year-old woman developed Takotsubo cardiomyopathy as a complication of non-convulsive status epilepticus, demonstrating that this cardiac complication can occur even without generalized convulsions.
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