Takotsubo Cardiomyopathy Associated With Status Epilepticus

J Korean Neurol Assoc > Volume 32(3); 2014 > Article

Journal of the Korean Neurological Association 2014;32(3): 194-197.

뇌전증지속상태와 연관된 Takotsubo심근병증

이윤주, 이 한 a,b 김경민 a,b 이동현 a,b 이준홍 a 최선아 a 조정희 a 김종헌 a 김규식 a

국민건강보험공단 일산병원 신경과 a , 연세대학교 의과대학 신경과학교실 b

Takotsubo Cardiomyopathy Associated With Status Epilepticus

Yoonju Lee

a Department of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, Korea b Department of Neurology, Yonsei University College of Medicine, Seoul, Korea

Abstract

Takotsubo cardiomyopathy is a reversible cardiac syndrome that occurs subsequently to other medical illnesses such as cerebral hemorrhage, shock, or seizure disorders that are presumed to disturb autonomic regulation. This syndrome is characterized by chest pain, dyspnea, and electrocardiographic changes mimicking an acute coronary syndrome. Mild elevation of cardiac enzymes and transient wall-motion abnormalities of apical akinesia can appear. However, takotsubo cardiomyopathy following epilepsy is not well recognized. We report two cases of takotsubo-cardiomyopathy-related idiopathic status epilepticus presenting with cardiogenic shock. Key Words: Takotsubo cardiomyopathy, Status epilepticus