title: Tako-tsubo syndrome as a consequence and cause of stroke.
abstract: Since tako-tsubo syndrome (TS) frequently appears soon after stroke (usually stroke involving the insular cortex), it is believed to be a consequence rather than a cause of stroke. Herein, we describe a 70-year-old woman presenting with a left middle cerebral artery stroke (involving the insular cortex) who developed a further contralateral ischemic stroke with concomitant detection of a transient intracardiac mural thrombus attributable to TS. It can reasonably be maintained that that in our patient insular stroke triggered the TS, which in turn became the embolic cause of a further stroke. Given the association between TS and the risk of embolic stroke, congestive heart failure and sudden death, stroke physicians need to promptly detect and appropriately manage this condition.
authors.forename: Anna
authors.initials: A
authors.lastname: Bersano
authors.forename: Patrizia
authors.initials: P
authors.lastname: Melchiorre
authors.forename: Giorgio
authors.initials: G
authors.lastname: Moschwitis
authors.forename: Francesca
authors.initials: F
authors.lastname: Tavarini
authors.forename: Carlo
authors.initials: C
authors.lastname: Cereda
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Micieli
authors.forename: Eugenio
authors.initials: E
authors.lastname: Parati
authors.forename: Claudio
authors.initials: C
authors.lastname: Bassetti
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000150:complications / Q000175:diagnosis; D020521:Stroke / Q000150:complications* / Q000175:diagnosis*; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis*