Dorset County Hospital, Dorchester, UK
Dorset County Hospital, Dorchester, UK.
Clin Med (Lond). 2017 Dec;17(6):575-577. doi: 10.7861/clinmedicine.17-6-575.
In this case study, we summarise the inpatient investigations and management of a 68-year-old woman with Takotsubo cardiomyopathy secondary to a Varicella zoster encephalitis and the difficulties inherent with making this diagnosis. She presented with evolving cranial nerve neuropathies, which started with a vagal nerve mononeuritis and eventually included left-sided sensorineural hearing loss and a facial nerve palsy. These symptoms were concomitant with a variety of cardiac abnormalities, including fast atrial fibrillation and electrocardiographic changes. We summarise some of the current understanding of Takotsubo cardiomyopathy and the criteria for its diagnosis. Although left ventricular apical ballooning has been described in association with severe infections and states of high stress, we have not seen it reported in association with a Varicella zoster encephalitis.
在本病例研究中，我们总结了一位 68 岁女性的住院检查和治疗过程，该女性患有 Takotsubo 心肌病，病因是水痘带状疱疹脑炎，我们在诊断过程中遇到了一些困难。她出现了进行性颅神经病变，首先是单一迷走神经神经病，最终包括左侧感觉神经性听力损失和面神经瘫痪。这些症状与多种心脏异常同时出现，包括快速心房颤动和心电图改变。我们总结了目前对 Takotsubo 心肌病的一些理解，以及其诊断标准。尽管已经描述了左心室心尖球囊样变与严重感染和高度应激状态有关，但我们尚未见到与水痘带状疱疹脑炎有关的报道。
