title: Takotsubo Cardiomyopathy in Traumatic Brain Injury.
abstract: Takotsubo cardiomyopathy (TC) is a well-known complication after aneurysmal subarachnoid hemorrhage and has been rarely described in patients with traumatic brain injury (TBI).
  
  
  
  Case report and review of literature.
  
  
  
  Here, we report a 73-year-old woman with mild traumatic brain injury (TBI) presenting in cardiogenic shock. Takotsubo cardiomyopathy (TC) was diagnosed by repeated echocardiography. Cardiovascular support by inotropic agents led to hemodynamic stabilization after initiation of levosimendan. Cardiac function fully recovered within 21 days. We performed an in-depth literature review and identified 16 reported patients with TBI and TC. Clinical course and characteristics are discussed in the context of our patient.
  
  
  
  Takotsubo cardiomyopathy is under-recognized after TBI and may negatively impact outcome if left untreated.
authors.affiliation: Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.|Department of Neurology, Hospital Pulau Pinang, Jalan Residensi, 10990, Georgetown, Pulau Pinang, Malaysia.
authors.forename: Chun Fai
authors.initials: CF
authors.lastname: Cheah
authors.affiliation: Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: Mario
authors.initials: M
authors.lastname: Kofler
authors.affiliation: Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: Alois Josef
authors.initials: AJ
authors.lastname: Schiefecker
authors.affiliation: Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: Ronny
authors.initials: R
authors.lastname: Beer
authors.affiliation: University Clinic of Internal Medicine III, Cardiology and Angiology, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: Gert
authors.initials: G
authors.lastname: Klug
authors.affiliation: Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
authors.forename: Bettina
authors.initials: B
authors.lastname: Pfausler
authors.affiliation: Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria. Raimund.Helbok@tirol-kliniken.at.
authors.forename: Raimund
authors.initials: R
authors.lastname: Helbok
mesh_terms: D000368:Aged; D000070642:Brain Injuries, Traumatic / Q000150:complications*; D005260:Female; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000209:etiology*
keywords: Echocardiography; Monitoring; Myocardial dysfunction; Takotsubo cardiomyopathy; Traumatic brain injury