title: Neurogenic stress cardiomyopathy following aneurysmal subarachnoid hemorrhage in a very elderly patient--case report.
abstract: A 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.
authors.affiliation: Department of Neurosurgery, Nabari City Hospital, Nabari, Mie, Japan. hyokota0001@gmail.com
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yokota
authors.forename: Shinya
authors.initials: S
authors.lastname: Sugiura
authors.forename: Yuki
authors.initials: Y
authors.lastname: Ida
authors.forename: Hiroo
authors.initials: H
authors.lastname: Itoh
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D011859:Radiography; D013312:Stress, Physiological / Q000502:physiology*; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D014711:Vertebral Artery / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D020217:Vertebral Artery Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery