Takotsubo Cardiomyopathy and Subsequent Seizures Induced by Flexible Bronchoscopy.
Takotsubo cardiomyopathy is a transient left-ventricular dysfunction that typically occurs in elderly women due to emotional or physical stress. An 85-y-old woman underwent flexible bronchoscopy to evaluate her malignant lymphoma. After flexible bronchoscopy, she experienced takotsubo cardiomyopathy diagnosed by left ventriculography and subsequent generalized tonic-clonic seizure diagnosed by electroencephalography. Magnetic resonance imaging of her brain after 1 d showed post-convulsive encephalopathy. We believe that these 2 consecutive incidents were caused by the physical stress of the flexible bronchoscopy.
Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan. shion728532@yahoo.co.jp.
Shion
S
Miyoshi
Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Yuichiro
Y
Takeda
Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Shoki
S
Ro
Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Haruna
H
Masaki
Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Masayuki
M
Hojo
Department of Pulmonary Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
Haruhito
H
Sugiyama
D000369:Aged, 80 and over; D001927:Brain Diseases / Q000209:etiology*; D001999:Bronchoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000175:diagnosis; D012640:Seizures / Q000209:etiology*; D013312:Stress, Physiological; D054549:Takotsubo Cardiomyopathy / Q000209:etiology*
bronchoscopy; complication; encephalopathy; lidocaine; seizures; takotsubo cardiomyopathy