Takotsubo cardiomyopathy associated with nonepileptic seizure after percutaneous endoscopic lumbar discectomy under general anesthesia.
Nonepileptic 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.
Shin
Sang-Wook
SW
Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Beomeo-ri, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 626-770, Korea.
Baek
Seung-Hoon
SH
Choi
Bong-Soo
BS
Lee
Hyeon-Jeong
HJ
Kim
Kyoung-Hoon
KH
Kim
Eun-Soo
ES
D000368:Aged; D000768:Anesthesia, General; D017587:Diskectomy, Percutaneous; D004562:Electrocardiography; D004569:Electroencephalography; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery; D017116:Low Back Pain / Q000601:surgery; D009200:Myocardial Contraction / Q000502:physiology; D011183:Postoperative Complications / Q000209:etiology*; D012640:Seizures / Q000209:etiology*; D054549:Takotsubo Cardiomyopathy / Q000209:etiology*