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Takotsubo cardiomyopathy associated with nonepileptic seizure after percutaneous endoscopic lumbar discectomy under general anesthesia

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Abstract

Nonepileptic seizures are rare complication after general anesthesia. Postoperative seizure-induced oxidative stress promotes acute catecholamine toxicity of the myocardium. Takotsubo cardiomyopathy may be more frequent in the perioperative setting than commonly appreciated. We report a case of nonepileptic seizure developed during emergence from general anesthesia. The patient subsequently developed takotsubo cardiomyopathy. We now clearly recognize that patients with seizure activities after general anesthesia may be a higher risk for takotsubo cardiomyopathy.

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References

  1. Lemke DM, Hussain SI, Wolfe TJ, Torbey MA, Lynch JR, Carlin A, Fitzsimmons BF, Zaidat OO. Takotsubo cardiomyopathy associated with seizures. Neurocrit Care. 2008;9:112–7.

    Article  PubMed  Google Scholar 

  2. Alsaadi TM, Marquez AV. Psychogenic nonepileptic seizures. Am Fam Physician. 2005;72:849–56.

    PubMed  Google Scholar 

  3. Lichter I, Goldstein LH, Toone BK, Mellers JD. Nonepileptic seizures following general anesthetics: a report of five cases. Epilepsy Behav. 2004;5:1005–13.

    Article  PubMed  Google Scholar 

  4. Voss LJ, Sleigh JW, Barnard JP, Kirsch HE. The howling cortex: seizures and general anesthetic drugs. Anesth Analg. 2008;107:1689–703.

    Article  PubMed  Google Scholar 

  5. Glosser G, Roberts D, Glosser DS. Nonepileptic seizures after resective epilepsy surgery. Epilepsia. 1999;40:1750–4.

    Article  CAS  PubMed  Google Scholar 

  6. Walder B, Tramèr MR, Seeck M. Seizure-like phenomena and propofol: a systematic review. Neurology. 2002;58:1327–32.

    PubMed  Google Scholar 

  7. Reves JG, Glass PSA, Lubarsky DA, McEvoy MD. Intravenous nonopioid anesthetics. In: Miller RD, editor. Miller’s anesthesia. 6th ed. Philadelphia: Elsevier Churchill Livingstone; 2005. p. 317–78.

    Google Scholar 

  8. Constant I, Seeman R, Murat I. Sevoflurane and epileptiform EEG changes. Paediatr Anaesth. 2005;15:266–74.

    Article  PubMed  Google Scholar 

  9. Nielsen J, Krøigaard M. Seizures in a 77-year-old-woman after a bolus dose of remifentanil. Acta Anaesthesiol Scand. 2004;48:253–4.

    Article  CAS  PubMed  Google Scholar 

  10. Goldstein LH, Deale AC, Mitchell-O’Malley SJ, Toone BK, Mellers JD. An evaluation of cognitive behavioral therapy as a treatment for dissociative seizures: a pilot study. Cogn Behav Neurol. 2004;17:41–9.

    Article  PubMed  Google Scholar 

  11. Lemke DM, Hussain SI, Wolfe TJ, Torbey MA, Lynch JR, Carlin A, Fitzsimmons BF, Zaidat OO. Takotsubo cardiomyopathy associated with seizures. Neurocrit Care. 2008;9:112–7.

    Article  PubMed  Google Scholar 

  12. Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, Gerstenblith G, Wu KC, Rade JJ, Bivalacqua TJ, Champion HC. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med. 2005;352:539–48.

    Article  CAS  PubMed  Google Scholar 

  13. Kurowski V, Kaiser A, von Hof K, Killermann DP, Mayer B, Hartmann F, Schunkert H, Radke PW. Apical and midventricular transient left ventricular dysfunction syndrome (tako-tsubo cardiomyopathy): frequency, mechanisms, and prognosis. Chest. 2007;132:809–16.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesia and Pain Medicine, Pusan National University School of Medicine, Beomeo-ri, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 626-770, Korea

    Sang-Wook Shin, Seung-Hoon Baek, Bong-Soo Choi, Hyeon-Jeong Lee, Kyoung-Hoon Kim & Eun-Soo Kim

  2. Medical Research Institute, Pusan National University Hospital, Yangsan, Korea

    Sang-Wook Shin, Seung-Hoon Baek, Hyeon-Jeong Lee & Kyoung-Hoon Kim

Authors
  1. Sang-Wook Shin
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  2. Seung-Hoon Baek
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  3. Bong-Soo Choi
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  4. Hyeon-Jeong Lee
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  5. Kyoung-Hoon Kim
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  6. Eun-Soo Kim
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Correspondence to Seung-Hoon Baek.

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Shin, SW., Baek, SH., Choi, BS. et al. Takotsubo cardiomyopathy associated with nonepileptic seizure after percutaneous endoscopic lumbar discectomy under general anesthesia. J Anesth 24, 460–463 (2010). https://doi.org/10.1007/s00540-010-0904-7

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  • DOI: https://doi.org/10.1007/s00540-010-0904-7

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