title: Cardiac stunning as first manifestation of multiple sclerosis: A case report reminding us not to overlook cardiovascular autonomic dysfunction in multiple sclerosis.
abstract: Autonomic dysfunction is common but frequently overlooked in multiple sclerosis (MS) patients. The case of a Tako-Tsubo cardiomyopathy on which this commentary is based shows that centrally triggered autonomic dysfunction may be the first life-threatening manifestation of MS.
authors.affiliation: Department of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany max.hilz@uk-erlangen.de.
authors.forename: Max J
authors.initials: MJ
authors.lastname: Hilz
mesh_terms: D003221:Confusion; D006801:Humans; D009103:Multiple Sclerosis; D054549:Takotsubo Cardiomyopathy
keywords: Multiple sclerosis; Tako-Tsubo cardiomyopathy; cardiovascular autonomic dysfunction