Takotsubo cardiomyopathy triggered by frequent psychogenic nonepileptic seizures: A case report

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL

Acute Medicine & Surgery Pub Date : 2024-03-13 DOI:10.1002/ams2.941

Daichi Yomogida, Hiroyuki Kuwano, Tatsuya Miyakoshi, Shiori Mizuta, Shinjiro Horikawa, Yoshinao Koshida

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Abstract

Background

Coexistence of Takotsubo cardiomyopathy and psychogenic nonepileptic seizures has rarely been reported. Herein, we report a case of Takotsubo cardiomyopathy triggered by psychogenic nonepileptic seizures.

Case Presentation

A 50-year-old woman with a 22-year history of dissociative and panic disorders and a 7-year history of seizures increasing in frequency was admitted due to cardiogenic shock. Based on the left ventriculography and electroencephalography findings, she was diagnosed with Takotsubo cardiomyopathy and psychogenic nonepileptic seizures. Seizures were controlled using antipsychotic agents, resulting in improved cardiac function, and she was discharged. However, she died of cardiopulmonary arrest 9 days after discharge.

Conclusion

Since controlling psychogenic epileptic seizures is difficult, Takotsubo cardiomyopathy triggered by psychogenic nonepileptic seizures may have poor prognosis, requiring careful management and close monitoring.

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频繁的精神性非癫痫发作引发的塔克次博心肌病：病例报告

背景塔克次博心肌病与精神性非癫痫性发作同时存在的报道很少。在此，我们报告了一例由精神性非癫痫发作引发的 Takotsubo 心肌病。病例介绍一位 50 岁的女性因心源性休克入院，她有 22 年的分离性障碍和惊恐障碍病史，7 年来癫痫发作频率不断增加。根据左心室造影和脑电图检查结果，她被诊断患有塔克次氏心肌病和精神性非癫痫发作。使用抗精神病药物控制了癫痫发作，使她的心功能得到了改善，随后她便出院了。然而，她在出院 9 天后死于心肺骤停。结论由于难以控制精神性癫痫发作，由精神性非癫痫发作引发的塔克次博心肌病可能预后不佳，需要精心治疗和密切监测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

自引率

12.50%

发文量

审稿时长

53 weeks