• Journal of anesthesia · Jun 2010

    Case Reports

    Takotsubo cardiomyopathy associated with nonepileptic seizure after percutaneous endoscopic lumbar discectomy under general anesthesia.

    • Sang-Wook Shin, Seung-Hoon Baek, Bong-Soo Choi, Hyeon-Jeong Lee, Kyoung-Hoon Kim, and Eun-Soo Kim.
    • Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Beomeo-ri, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 626-770, Korea.
    • J Anesth. 2010 Jun 1; 24 (3): 460-3.

    AbstractNonepileptic seizures are rare complication after general anesthesia. Postoperative seizure-induced oxidative stress promotes acute catecholamine toxicity of the myocardium. Takotsubo cardiomyopathy may be more frequent in the perioperative setting than commonly appreciated. We report a case of nonepileptic seizure developed during emergence from general anesthesia. The patient subsequently developed takotsubo cardiomyopathy. We now clearly recognize that patients with seizure activities after general anesthesia may be a higher risk for takotsubo cardiomyopathy.

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