title: [Case report: Aneurysmatic subarachnoid hemorrhage -- complicated course due to coincidental manifestation of an inverted Tako-Tsubo-cardiomyopathy].
abstract: We report the case of a patient who suffered a serious subarachnoid hemorrhage with a cardialaffection and development of an inverted Tako-Tsubo-cardiomyopathy. To avoid apparent cerebral ischemia due to severe cerebral vasospasm after exhaustion of conservative therapeutic options a temporarily endovascular therapy with continuous intra-arterial application of Nimodipine was necessary. In the overall protracted and complicated course the special challenge were the therapeutic efforts to avoid apparent cerebral ischemia in context to the significant cardial affection.
authors.forename: Nina
authors.initials: N
authors.lastname: Zech
authors.forename: Martin
authors.initials: M
authors.lastname: Kieninger
authors.forename: Milena
authors.initials: M
authors.lastname: Seemann
authors.forename: Holger
authors.initials: H
authors.lastname: Künzig
authors.forename: Sylvia
authors.initials: S
authors.lastname: Bele
authors.forename: Alexander
authors.initials: A
authors.lastname: Dietl
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D015170:Cerebrospinal Fluid Pressure; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008875:Middle Aged; D009638:Norepinephrine / Q000627:therapeutic use; D011183:Postoperative Complications / Q000628:therapy; D020521:Stroke / Q000209:etiology / Q000628:therapy; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000601:surgery / Q000628:therapy*; D054549:Takotsubo Cardiomyopathy / Q000150:complications / Q000628:therapy*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use; D020301:Vasospasm, Intracranial / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
chemical_list: D014662:Vasoconstrictor Agents; D009638:Norepinephrine; D004837:Epinephrine