title: Tako-tsubo cardiomyopathy: reversible heart failure with favorable outcome in patients with intracerebral hemorrhage. Case report.
abstract: In patients with intracerebal hemorrhage, cardiac dysfunction is a common phenomenon. Tako-tsubo cardiomyopathy is characterized by complete reversibility and therefore may constitute an entity with a favorable outcome. In this case report the authors describe a previously healthy 23-year-old man with no history of cardiac disease who suffered a severe fourth ventricular hemorrhage due to an angioma of the vermis cerebelli. After emergency surgery, progressive tachycardia, fibrillation, and electromechanical decoupling developed in the patient. An echocardiogram revealed left ventricular apical akinesia and basal hyperkinesis characteristic of tako-tsubo cardiomyopathy. One week after admission, cardiac function was normal. Tako-tsubo cardiomyopathy differs from common cardiac dysfunction in its reversible nature. This characteristic must be taken into consideration when treating patients with intracerebral hemorrhage to avoid misclassification of the disease.
authors.affiliation: Department of Neurosurgery, University of Freiburg Medical School, Freiburg, Germany. martin.deininger@uni-tuebingen.de
authors.forename: Martin H
authors.initials: MH
authors.lastname: Deininger
authors.forename: Dirk
authors.initials: D
authors.lastname: Radicke
authors.forename: Jürgen
authors.initials: J
authors.lastname: Buttler
authors.forename: Kai-Michael
authors.initials: KM
authors.lastname: Scheufler
authors.forename: Thomas
authors.initials: T
authors.lastname: Freiman
authors.forename: Josef F
authors.initials: JF
authors.lastname: Zentner
mesh_terms: D000328:Adult; D001932:Brain Neoplasms / Q000150:complications; D009202:Cardiomyopathies / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000601:surgery; D004452:Echocardiography; D006391:Hemangioma / Q000150:complications; D006801:Humans; D008297:Male