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E-058 clinical features of aneurysmal subarachnoid hemorrhage associated with takotsubo cardiomyopathy
  1. N Hirotsune,
  2. S Nishino,
  3. T Meguro,
  4. K Muraoka,
  5. T Tanabe,
  6. Y Okuma,
  7. Y Takahashi,
  8. Y Tomita
  1. Neurosurgery, Hiroshima City Hospital, Hiroshima, Japan

Abstract

Introduction Takotsubo cardiomyopathy (TCM) is characterized by elevation of ST segment in the electrocardiogram and left  ventricular apical ballooning in the left ventriculography. Emotional or physical stress such as subarachnoid hemorrhage (SAH) triggers takotsubo cadiomyopathy. Cardiac failure and pulmonary edema often increase in severity. The strict causes of this disease are unknown. We reviewed the clinical features and outcomes of our series of this disease. [Materials and Methods]Between January 2001 and December 2014, 15 patients with SAH associated with TCM were treated at our hospital. Patients were 2 males and 13 females, mean age were 63 years old. According to the WFNS scale, grade II in 2 patients, III in 1, IV in 1, V in 11. Five patients were associated with neurogenic lung edema. [Results]Coil embolization was performed for 6 patients and surgical neck clipping for 8 patients. Five of 6 patients achieved good recovery with endovascular treatment and 3 of 8 with surgical clipping. [Conclusion] Coil embolization is the less invasive treatment option for cerebral aneurysms with TCM, even if the patient were poor condition. Early diagnosis and intensive whole body control are very important.

Disclosures N. Hirotsune: None. S. Nishino: None. T. Meguro: None. K. Muraoka: None. T. Tanabe: None. Y. Okuma: None. Y. Takahashi: None. Y. Tomita: None.

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