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Pediatric takotsubo syndrome caused by hydrocephalus after posterior fossa tumor surgery

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Abstract

Takotsubo syndrome (TTS) can develop after intense physical or emotional stress and is uncommon in children. We report a 2-year-old girl who developed TTS caused by acute hydrocephalus after posterior fossa tumor resection and required mechanical ventilation and administration of vasopressor/inotropic agents. Her cardiac function gradually recovered over the course of 2 weeks. Hydrocephalus after posterior fossa surgery can cause compression of the medulla oblongata, resulting in solitary nucleus dysfunction and TTS, a potentially life-threatening complication.

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Acknowledgments

We thank Edanz Group (https://en-author-services.edanz.com/ac) for editing a draft of this manuscript.

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Authors and Affiliations

  1. Department of Neurosurgery, Hyogo Prefectural Kobe Children’s Hospital, Kobe, Japan

    Junji Koyama, Nobuyuki Akutsu & Atsufumi Kawamura

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  1. Junji Koyama
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  2. Nobuyuki Akutsu
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  3. Atsufumi Kawamura
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Contributions

Dr. Koyama was the major contributor in writing the manuscript. Dr. Koyama and Dr. Akutsu contributed to the diagnosis and treatment of the patient. Dr. Kawamura made critical revision of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Junji Koyama.

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All procedures performed in this case report were in accordance with ethical standards of the institution and with the 1964 Helsinki declaration.

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Informed consent for participation was obtained from the patient’s parents.

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Informed consent for publication was obtained from the patient’s parents.

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The authors declare that they have no conflict of interest.

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Koyama, J., Akutsu, N. & Kawamura, A. Pediatric takotsubo syndrome caused by hydrocephalus after posterior fossa tumor surgery. Childs Nerv Syst 37, 3957–3961 (2021). https://doi.org/10.1007/s00381-021-05090-2

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