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Case Reports in Cardiology
Volume 2014 (2014), Article ID 781926, 4 pages
Case Report

Inverted (Reverse) Takotsubo Cardiomyopathy following Cerebellar Hemorrhage

1Department of Intensive Care, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Avenue Hippocrate 10, 1200 Brussels, Belgium
2Louvain Centre for Toxicology and Applied Pharmacology, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, 1200 Brussels, Belgium

Received 9 January 2014; Accepted 13 February 2014; Published 11 March 2014

Academic Editors: M. Ferrari, M. R. Movahed, J. Peteiro, and T. Sahin

Copyright © 2014 Sophie Piérard et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. First described in 2005, inverted takotsubo is one of the four stress-induced cardiomyopathy patterns. It is rarely associated with subarachnoid hemorrhage but was not previously reported after intraparenchymal bleeding. Purpose. We reported a symptomatic case of inverted takotsubo pattern following a cerebellar hemorrhage. Case Report. A 26-year-old woman presented to the emergency department with sudden headache and hemorrhage of the posterior fossa was diagnosed, probably caused by a vascular malformation. Several hours later, she developed acute pulmonary edema due to acute heart failure. Echocardiography showed left ventricular dysfunction with hypokinetic basal segments and hyperkinetic apex corresponding to inverted takotsubo. Outcome was spontaneously favorable within a few days. Conclusion. Inverted takotsubo pattern is a stress-induced cardiomyopathy that could be encountered in patients with subarachnoid hemorrhage and is generally of good prognosis. We described the first case following a cerebellar hematoma.