• Neurol. Med. Chir. (Tokyo) · Jan 2011

    Case Reports

    Neurogenic stress cardiomyopathy following aneurysmal subarachnoid hemorrhage in a very elderly patient--case report.

    • Hiroshi Yokota, Shinya Sugiura, Yuki Ida, and Hiroo Itoh.
    • Department of Neurosurgery, Nabari City Hospital, Nabari, Mie, Japan. hyokota0001@gmail.com
    • Neurol. Med. Chir. (Tokyo). 2011 Jan 1; 51 (12): 842-6.

    AbstractA 90-year-old woman presented with aneurysmal subarachnoid hemorrhage (SAH) corresponding to Hunt and Hess grade II. Acute congestive heart failure and pulmonary edema developed following uneventful surgical clipping. Serial electrocardiography and echocardiography led to a diagnosis of neurogenic stress cardiomyopathy (NSC), also known as tako-tsubo cardiomyopathy. The outcome was favorable after supportive therapy with respiratory management and diuretic administration. Neurosurgeons treating SAH must take into account the various general treatment strategy options on a case by case basis after prompt recognition of NSC.

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