• Chun Fai Cheah, Mario Kofler, Alois Josef Schiefecker, Ronny Beer, Gert Klug, Bettina Pfausler, and Raimund Helbok.
• Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Anichstrasse 35, 6020, Innsbruck, Austria.
• Neurocrit Care. 2017 Apr 1; 26 (2): 284-291.

BackgroundTakotsubo cardiomyopathy (TC) is a well-known complication after aneurysmal subarachnoid hemorrhage and has been rarely described in patients with traumatic brain injury (TBI).MethodsCase report and review of literature.ResultsHere, we report a 73-year-old woman with mild traumatic brain injury (TBI) presenting in cardiogenic shock. Takotsubo cardiomyopathy (TC) was diagnosed by repeated echocardiography. Cardiovascular support by inotropic agents led to hemodynamic stabilization after initiation of levosimendan. Cardiac function fully recovered within 21 days. We performed an in-depth literature review and identified 16 reported patients with TBI and TC. Clinical course and characteristics are discussed in the context of our patient.ConclusionTakotsubo cardiomyopathy is under-recognized after TBI and may negatively impact outcome if left untreated.

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