Tako-tsubo syndrome as a consequence and cause of stroke.

Bersano, A; Melchiorre, P; Moschwitis, G; Tavarini, F; Cereda, C; Micieli, G; Parati, E; Bassetti, Claudio (2014). Tako-tsubo syndrome as a consequence and cause of stroke. (In Press). Functional Neurology, 29(2), pp. 135-137. 10.11138/FNeur/2014.29.2.135

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Since tako-tsubo syndrome (TS) frequently appears soon after stroke (usually stroke involving the insular cortex), it is believed to be a consequence rather than a cause of stroke. Herein, we describe a 70-year-old woman presenting with a left middle cerebral artery stroke (involving the insular cortex) who developed a further contralateral ischemic stroke with concomitant detection of a transient intracardiac mural thrombus attributable to TS. It can reasonably be maintained that that in our patient insular stroke triggered the TS, which in turn became the embolic cause of a further stroke. Given the association between TS and the risk of embolic stroke, congestive heart failure and sudden death, stroke physicians need to promptly detect and appropriately manage this condition.

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