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CC BY 4.0 · J Neuroanaesth Crit Care
DOI: 10.1055/s-0043-1778077
Case Report

Takotsubo's Cardiomyopathy in a Young Female with Severe Traumatic Brain Injury: A Case Report

Gayatri Kumari
1   Neuroanesthesia and Neurocritical Care, Life Line Hospital & Research Centre Azamgarh, Uttar Pradesh, India
,
Anoop K. Singh
2   Department of Neurosurgery, Life Line Hospital & Research Centre Azamgarh, Uttar Pradesh, India
,
Sharma V. Jaishree
3   Department of Anesthesiology, Government Medical College, Azamgarh, Uttar Pradesh, India
,
Ashutosh Tiwari
4   Department of Neuroanesthesia and Neuro Critical Care, Life Line Hospital & Research Centre Azamgarh, Uttar Pradesh, India
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Abstract

Takotsubo's cardiomyopathy (TC) typically presents with acute cardiac dysfunction due to regional wall motion abnormality, but unlike other cardiac pathologies, it recovers within a short period. Here, we report the case of a 23-year-old woman who presented to us following severe traumatic brain injury (TBI). Her Glasgow coma scale (GCS) deteriorated rapidly in the preoperative period and she developed TC following surgery. Despite an uneventful surgery, she needed cardiovascular support by vasopressors and inotropes in the postoperative period. She was diagnosed with TC on serial transthoracic echocardiography, with complete cardiac function recovery within 9 days. The diagnosis of TC was supported by electrocardiography (not correlating coronary artery disease), elevated troponin I and N-terminal prohormone of brain natriuretic peptide (NT-proBNP), and the presence of a physical sessor like TBI. As an unrecognized TC due to a low GCS score after severe TBI may negatively impact outcomes, we aim to emphasize that vigilant perioperative management may give good outcomes even in less commonly encountered serious TC.

Keywords

Takotsubo's cardiomyopathy - transthoracic echocardiography - traumatic brain injury


Publication History

Article published online:
07 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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