Discussion
SC triggered by nervous system disease has been described in multiple reports. The relationship between both entities is still not clear. A systematic review conducted by Porto et al. in 2013 of 124 reported cases concluded that this entity involves the cardiac apex more frequently and is more common among women. The seizure was the associated nervous system disease in 1.8% of cases, of which only 5.6% were males and 72.2 % of cases had the typical apical type of SC.
Cardiac Magnetic Resonance Imaging is a well-established imaging modality that helps in assessing the functional and tissue properties of the heart. It can non-invasively distinguish stress cardiomyopathy syndrome from other conditions such as myocardial infarction, myocarditis, or myocardial infiltrative disease. The involvement of the right ventricle in this syndrome which is found in almost one-third of the cases was reported only through cardiac MRI. The MRI data from the study conducted by Leurent et al. showed that the pathogenesis in SC is neither ischemic nor fibrotic as the delayed gadolinium enhancement is almost never found in these patients. Stress cardiomyopathy is a diagnosis of exclusion. In our patient, the cardiac MRI confirmed the wall motion abnormalities and helped in the exclusion of other possible differentials.