Tempaku Akira, Kanda Tsugiyasu
Department of General Medicine, Kanazawa Medical University Himi Municipal Hospital, 31-9 Saiwai-cho, Toyama, Himi 935-8531, Japan.
Case Rep Neurol Med. 2012;2012:306171. doi: 10.1155/2012/306171. Epub 2012 Aug 2.
We report a 71-year-old woman with takotsubo-like myocardial dysfunction accompanied with cerebellar hemorrhage. On admission time, although she was unconscious by cerebellar hemorrhage, no obvious heart failure and serological disorder were observed. Three days later, operation for extraventricular drainage was performed. However, conscious level did not change. Four days after admission, the change of electrocardiogram wave pattern and the decrement of heart wall motion were detected. These findings revealed takotsubo-like myocardial dysfunction had occurred. Physical stresses by cerebellar hemorrhage and cranial operation might cause cardiac disorder. This is a remarkable case of takotsubo-like myocardial dysfunction, which is brought about cerebellar hemorrhage against subarachnoid hemorrhage.
我们报告了一名71岁女性，患有类似应激性心肌病的心肌功能障碍并伴有小脑出血。入院时，尽管她因小脑出血而昏迷，但未观察到明显的心力衰竭和血清学紊乱。三天后，进行了脑室外引流手术。然而，意识水平并未改变。入院四天后，检测到心电图波形变化和心壁运动减弱。这些发现表明发生了类似应激性心肌病的心肌功能障碍。小脑出血和开颅手术引起的身体应激可能导致心脏疾病。这是一例由小脑出血而非蛛网膜下腔出血引发的类似应激性心肌病的显著病例。
