Department of Internal Medicine, Fondation Ophtalmologique Adolphe de Rothschild, 25-29, rue Manin, 75940 Paris Cedex 19, France.
Seizure. 2011 Mar;20(2):184-6. doi: 10.1016/j.seizure.2010.11.001. Epub 2010 Dec 4.
Transient left ventricular apical ballooning also called Takotsubo cardiomyopathy is a recently described cardiac syndrome. It often affects postmenopausal women having an acute physical or emotional stress, but it have also been described after convulsive status epilepticus. Although this association is rare and left ventricular function often recovers, it would be useful to the neurologist to be aware of the signs leading to this diagnosis, to improve the cardiac later care. Here we report a patient with partial status epilepticus in whom the diagnosis of transient left ventricular apical ballooning was made. We describe the diagnostic criteria and the potential complications that should be monitored.
一过性左心室心尖球囊样变又称为 Takotsubo 心肌病,是一种新近描述的心脏综合征。它常影响绝经后妇女,与急性躯体或精神应激相关,但也有癫痫持续状态后发生的报道。尽管这种相关性罕见,左心室功能通常恢复,但神经科医生了解导致这种诊断的体征将有助于改善心脏的后期护理。我们在此报告 1 例部分性癫痫持续状态患者,诊断为一过性左心室心尖球囊样变。我们描述了诊断标准和应监测的潜在并发症。