Key result
Flexible bronchoscopy induced physical stress leading to Takotsubo cardiomyopathy and subsequent generalized tonic-clonic seizure in an 85-year-old woman.
Case Report (n=1)
Physical stress from flexible bronchoscopy can induce Takotsubo cardiomyopathy and subsequent seizures.
Suggests vigilance for rare stress cardiomyopathy in elderly bronchoscopy patients; single case leaves open causality and generalizability.
Takotsubo cardiomyopathy is a transient left-ventricular dysfunction that typically occurs in elderly women due to emotional or physical stress. An 85-y-old woman underwent flexible bronchoscopy to evaluate her malignant lymphoma. After flexible bronchoscopy, she experienced takotsubo cardiomyopathy diagnosed by left ventriculography and subsequent generalized tonic-clonic seizure diagnosed by electroencephalography. Magnetic resonance imaging of her brain after 1 d showed post-convulsive encephalopathy. We believe that these 2 consecutive incidents were caused by the physical stress of the flexible bronchoscopy.
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Miyoshi et al. (2015) conducted a case report in Takotsubo cardiomyopathy and seizures (n=1). Flexible bronchoscopy was evaluated on Takotsubo cardiomyopathy and subsequent generalized tonic-clonic seizure. Flexible bronchoscopy induced physical stress leading to Takotsubo cardiomyopathy and subsequent generalized tonic-clonic seizure in an 85-year-old woman.
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