Yamasaki Tomohiro, Hayashi Kentaro, Shibata Yohei, Furuta Tatsuya, Yamamoto Kazuhiro, Uchimura Masahiro, Fujiwara Yuta, Nakagawa Fumio, Kambara Mizuki, Yoshikane Tsutomu, Nagai Hidemasa, Akiyama Yasuhiko, Tanabe Kazuaki, Tanabe Junya
Department of Neurosurgery and.
Advanced Stroke Center, Shimane University Hospital, Izumo, Shimane, Japan; and.
J Neurosurg Case Lessons. 2021 Aug 30;2(9):CASE21372. doi: 10.3171/CASE21372.
Excess neurological stress by hemorrhagic stoke induces cardiomyopathy, namely takotsubo cardiomyopathy. Here, the authors report a case of takotsubo myopathy following mechanical thrombectomy for acute large vessel occlusion.
A 73-year-old man was emergently brought to the authors' hospital because of left hemiparesis and consciousness disturbance. An ischemic lesion of the right cerebral hemisphere and the right internal carotid artery occlusion was revealed. Emergently, endovascular treatment was performed, and occlusion of the artery was reanalyzed. However, he suffered from hypotension with electrocardiogram abnormality. Subsequently, coronary angiography was performed, but the arteries were patent. The authors made a diagnosis of takotsubo cardiomyopathy.
Endovascular recanalization for large cerebral artery occlusion is so effective that it is becoming widely used. Even in the successful recanalization, we need to care for the takotsubo cardiomyopathy.
出血性中风导致的过度神经应激会引发心肌病，即应激性心肌病。在此，作者报告一例急性大血管闭塞行机械取栓术后发生应激性心肌病的病例。
一名73岁男性因左侧偏瘫和意识障碍紧急被送至作者所在医院。发现右侧大脑半球存在缺血性病变以及右侧颈内动脉闭塞。紧急进行了血管内治疗，并再次分析动脉闭塞情况。然而，他出现了低血压伴心电图异常。随后进行了冠状动脉造影，但动脉通畅。作者诊断为应激性心肌病。
大脑大动脉闭塞的血管内再通非常有效，因此正在广泛应用。即使在再通成功的情况下，我们也需要关注应激性心肌病。
