Key result
A 76-year-old woman with a left thalamic hemorrhage developed takotsubo cardiomyopathy, suggesting that thalamic hemorrhage may induce autonomic disturbances affecting cardiopulmonary function.
Case Report (n=1)
This case report highlights that thalamic hemorrhage can induce autonomic disturbances leading to takotsubo cardiomyopathy, emphasizing the need for cardiopulmonary monitoring in intracerebral hemorrhage patients.
Suggests thalamic hemorrhage may trigger takotsubo cardiomyopathy via autonomic disturbance; leaves open whether routine cardiopulmonary monitoring improves outcomes.
CASE: A 76-year-old woman was found unconscious by her family. She had suffered a fall and was soaked in kerosene. On arrival at our emergency department, she was unconscious, normotensive, with right hemiplegia and chemical burns. A computed tomographic scan of her head indicated left thalamic hemorrhage. An electrocardiogram showed ST elevation at the precardial leads. An echocardiogram revealed characteristic of takotsubo cardiomyopathy. OUTCOME: The patient was intubated and treated conservatively. She was transferred to another hospital for rehabilitation after complete epithelization of the chemical burn. This is the second reported case of thalamic hemorrhage with takotsubo cardiomyopathy. The thalamic hemorrhage might have induced autonomic disturbances and caused the takotsubo cardiomyopathy in this case. CONCLUSION: Physicians should pay attention to the potential complication of takotsubo cardiomyopathy, which may affect cardiopulmonary function even when patients are being treated for intracerebral hemorrhage.
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Inoue et al. (2014) conducted a case report in Thalamic hemorrhage with takotsubo cardiomyopathy (n=1). Conservative treatment was evaluated on Clinical outcome. A 76-year-old woman with a left thalamic hemorrhage developed takotsubo cardiomyopathy, suggesting that thalamic hemorrhage may induce autonomic disturbances affecting cardiopulmonary function.
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