[Takotsubo cardiomyopathy in an adolescent girl].
We report the case of a 14-year-old girl who presented with symptoms of left ventricular systolic failure following the rupture of a cerebellar arteriovenous malformation. Takotsubo cardiomyopathy needs to be recognized by pediatricians because the triggering factors, such as physical or emotional stress, are common during childhood. Echocardiography showed a typical dyskinesia of the left ventricular apical or midventricular segments with a hyperkinetic basal region. Symptomatic treatment may be necessary in cases of hypotension, arrhythmias, or acute heart failure. As the prognosis is generally good, reassuring information can be given and cardiologic investigations limited.
Pédiatrie néonatale et réanimations, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France.
J
J
Baleine
Pédiatrie néonatale et réanimations, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France.
A
A
Jacquot
Pédiatrie néonatale et réanimations, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France.
A Rideau Batista
AR
Novais
Pédiatrie néonatale et réanimations, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France.
S
S
Durand
Pédiatrie néonatale et réanimations, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France.
C
C
Milesi
Cardiologie pédiatrique, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France.
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de la Villéon
Neurochirurgie pédiatrique, hôpital Gui-de-Chauliac, CHU de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
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T
Roujeau
Pédiatrie néonatale et réanimations, hôpital Arnaud-de-Villeneuve, CHRU de Montpellier, 371, avenue du doyen G.-Giraud, 34295 Montpellier cedex 5, France. Electronic address: g-cambonie@chu-montpellier.fr.
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Cambonie
D000293:Adolescent; D002531:Cerebellum / Q000098:blood supply; D004280:Dobutamine / Q000627:therapeutic use; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000628:therapy; D054143:Heart Failure, Systolic / Q000175:diagnosis / Q000628:therapy; D006406:Hematoma / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications; D011379:Prognosis; D012422:Rupture, Spontaneous; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis* / Q000628:therapy
D004280:Dobutamine