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.