Saouma Marc, Allam Chadi, Helou Michel Chedid El, Kadri Zeina, Badaoui Georges
Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
Division of Cardiology, Hôtel-Dieu de France Hospital, Beirut, Lebanon.
Proc (Bayl Univ Med Cent). 2022 Feb 2;35(3):371-373. doi: 10.1080/08998280.2022.2027739. eCollection 2022.
A 67-year-old woman presented to the emergency department for a simple partial seizure of her left upper and lower limbs that lasted for 1 hour and ultimately resolved before her presentation. She had no history of coronary artery disease, and her neurological exam was normal. Five hours later, she complained of chest pain. An electrocardiogram showed ST segment elevation in the lateral leads, and her troponin level was increased. She was diagnosed with takotsubo cardiomyopathy. This case reflects the brain-heart connection and is the first reported case of takotsubo cardiomyopathy following a simple partial seizure.
一名67岁女性因左上肢和下肢单纯部分性癫痫发作前往急诊科,发作持续1小时,在她就诊前最终缓解。她没有冠状动脉疾病史,神经系统检查正常。5小时后,她主诉胸痛。心电图显示侧壁导联ST段抬高,肌钙蛋白水平升高。她被诊断为应激性心肌病。该病例反映了脑-心联系,是首例报道的单纯部分性癫痫发作后发生应激性心肌病的病例。