DISCUSSION:
The association between takotsubo syndrome and aneurysmal SAH in some populations has previously been reported. Therefore, it was necessary to perform screening for SAH and the discovery of an unruptured aneurysm in this case report [12, 13].
To the best of our knowledge, this is the first report of takotsubo syndrome and unruptured cerebral aneurysm. Therefore, we believe that patients with a diagnosis of takotsubo syndrome should undergo an angiography scan for cerebral aneurysm, due to the known risk of rupture. Early diagnosis of aneurysms is possible, and acting in a preventive manner with rapid institution of pre-rupture treatment reduces morbidity and mortality. The present case report differs from most cases of takotsubo syndrome described in the literature since it presents unruptured mirror aneurysms, while most cases are diagnosed after intracranial haemorrhage. Thus, to reduce morbidity and mortality, screening for brain aneurysms should be performed as a preventive protocol in patients diagnosed with takotsubo cardiomyopathy.