A case of cerebral infarction and possible Takotsubo cardiomyopathy complicated with recurrence of cerebral embolism from an intraventricular thrombus

Objective: To analyze the imaging characteristics of hemorrhagic cerebral infarction (HI). Methods: The cases were selected from 220 patients with new cerebral infarction who were hospitalized in our hospital from March 2015 to February 2018, of which 34 cases were found with hemorrhagic cerebral infarction. All the selected cases met the criteria for "Diagnosis Points of Various Cerebrovascular Diseases" adopted by the Fourth National Cerebrovascular Diseases Academic Conference of the Chinese Medical Association in 1995, and were confirmed by cranial CT and/or GE1.5HDX MRI scans as Hemorrhagic cerebral infarction. Retrospectively analyze the clinical data, clinical manifestations, brain CT, GE1.5HDX magnetic resonance examination, and clinical data of 34 patients with HI, and analyze their short-term prognosis, HI occurrence time, type of bleeding, infarct area, incidence site, arteries The blood supply and imaging performance were analyzed by statistical X2 test to analyze the imaging characteristics of hemorrhagic cerebral infarction. Results: 1. 34 patients with HI in this group accounted for 15.45% of the cerebral infarction in the same period, including 16 males and 18 females. The ages ranged from 45 to 86 years, with an average of 68.09 ± 10.41 years. 2.34 cases of HI included cerebral embolism in 26 cases (76.47%), cerebral thrombosis in 7 cases (20.58%), lacunar infarction in 1 case (2.94%), cardiogenic cerebral embolism in 22 cases (64.71%), and history of atrial fibrillation. Fourteen patients (41.18%) and 24 patients with large infarction (70.59%). Conclusions: Embolization, occlusion, recanalization, and establishment of collateral circulation are closely related to the occurrence of HI. For patients with cardiogenic cerebral embolism and large-scale cerebral infarction, regardless of whether the clinical symptoms are exacerbated, attention should be paid to cerebral infarction.

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Takotsubo cardiomyopathy as a source of cardioembolic cerebral infarction

BMJ Case Reports ◽

10.1136/bcr-2012-006835 ◽

2012 ◽

Vol 2012 (sep20 1) ◽

pp. bcr2012006835-bcr2012006835 ◽

Cited By ~ 6

Author(s):

S. M. Kim ◽

S. Aikat ◽

A. Bailey ◽

M. White

Keyword(s):

Cerebral Infarction ◽

Takotsubo Cardiomyopathy

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Takotsubo cardiomyopathy associated with cerebral infarction following surgery for euthyroid goitre

Neurología (English Edition) ◽

10.1016/j.nrleng.2019.01.012 ◽

2020 ◽

Vol 35 (8) ◽

pp. 592-593

Author(s):

B. Febrero ◽

J.M. Rodríguez ◽

A. Morales ◽

P. Parrilla

Keyword(s):

Cerebral Infarction ◽

Takotsubo Cardiomyopathy ◽

Euthyroid Goitre

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Cerebral Infarction Presenting as an Extradural Haemorrhage (Case Report)

Medicine Science and the Law ◽

10.1177/002580248402400211 ◽

1984 ◽

Vol 24 (2) ◽

pp. 117-118

Author(s):

Niriellage Chandrasiri

Keyword(s):

Case Report ◽

Cerebral Infarction ◽

Accurate Diagnosis ◽

Cerebral Embolism ◽

Carotid Angiography ◽

Brain Scan ◽

History Of ◽

Intra Cranial Pressure ◽

Space Occupying Lesion

A case of cerebral embolism with infarction presenting as an intra cranial space occupying lesion is described. This is a rare sequel of cerebral infarction. This case highlights some of the false physical signs of a rapidly developing rise in intra cranial pressure and the falsity of the history of fall after an attack of cerebral infarction. The place of emergency carotid angiography and brain scan is also discussed in the accurate diagnosis of such cases.

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