open access
Tako-tsubo cardiomyopathy with transient global amnesia and cerebellar embolic stroke triggered by existential fear
- KA Rudolfstiftung
open access
Abstract
Embolic stroke is a complication of Tako-Tsubo-cardiomyopathy (TTC), transient left ventricular dysfunction mimicking myocardial infarction without coronary culprit lesion explaining the whole left ventricular dysfunction. Transient global amnesia (TGA) is characterized by sudden onset of anterograde amnesia without compromise of other neurologic functions.
Case reportA 57 years old female was admitted because of sudden confusion and loss of her memory after emotional stress. TGA was diagnosed. Because of chest pain and laboratory tests indicating myocardial ischemia, she underwent coronary angiography which was normal. Within the following 24h her memory improved. She complained about severe vertigo and cerebral magnetic resonance imaging showed a recent ischemia in the left cerebellum.
ConclusionsTGA is not a disease for the neurologists exclusively but also cardiac comorbidities have to be considered and cardiologists should be involved in the acute care of these patients in order not to overlook life-threatening diseases.
Abstract
Embolic stroke is a complication of Tako-Tsubo-cardiomyopathy (TTC), transient left ventricular dysfunction mimicking myocardial infarction without coronary culprit lesion explaining the whole left ventricular dysfunction. Transient global amnesia (TGA) is characterized by sudden onset of anterograde amnesia without compromise of other neurologic functions.
Case reportA 57 years old female was admitted because of sudden confusion and loss of her memory after emotional stress. TGA was diagnosed. Because of chest pain and laboratory tests indicating myocardial ischemia, she underwent coronary angiography which was normal. Within the following 24h her memory improved. She complained about severe vertigo and cerebral magnetic resonance imaging showed a recent ischemia in the left cerebellum.
ConclusionsTGA is not a disease for the neurologists exclusively but also cardiac comorbidities have to be considered and cardiologists should be involved in the acute care of these patients in order not to overlook life-threatening diseases.
Keywords
Acute coronary syndrome, Cardiomyopathy, Stroke, Takotsubo, Transient global amnesia
Title
Tako-tsubo cardiomyopathy with transient global amnesia and cerebellar embolic stroke triggered by existential fear
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
394-396
Published online
2018-01-06
Page views
327
Article views/downloads
518
DOI
10.1016/j.pjnns.2017.12.013
Bibliographic record
Neurol Neurochir Pol 2018;52(3):394-396.
Keywords
Acute coronary syndrome
Cardiomyopathy
Stroke
Takotsubo
Transient global amnesia
Authors
Claudia Stöllberger
Nicolas DeCillia
Josef Finsterer