INTRODUCTION
Takotsubo syndrome is an acute heart disease that mimics the typical
features of acute coronary syndrome (ACS) [1]. Although takotsubo
syndrome has an uncertain prevalence in the general population, in women
with suspected ACS, the prevalence is estimated to be around 5-6%
[2]. The annual incidence is very low and is approximately 0.02%
[3][4].
Unlike ACS, TS is reversible and the heart often heals within four to
eight changes weeks. The syndrome is characterised by transient systolic
and diastolic left ventricular dysfunction with wall motion
abnormalities [5][6]. This condition, which was first described
by Dote et al. in Japan in 1990 [3][4], usually affects
postmenopausal women who have experienced some physical or psychological
stress. However, it can also occur in the absence of these triggers
[1][7].
The prevalence of saccular aneurysms in the general population is
estimated at 3.2%. Approximately 20 to 30% of cases present in the
form of multiple aneurysms [8]. Intracranial aneurysms are generally
diagnosed after episodes of subarachnoid haemorrhage (SAH), which causes
a high rate of morbidity and mortality [9]. Rupture of an aneurysm
is believed to be responsible for 0.4 to 0.6% of all aneurysm deaths,
and approximately 10% of patients die before arriving at the hospital.
[10]
Takotsubo syndrome is generally reported to have an incidence of
0.8-17% in patients with SAH caused by ruptured aneurysm [11].
However, this case report is relevant for the clinical and
pathophysiological observation of the possible association between
aneurysms of the internal carotid arteries (ICA) and TS, with the latter
being able to serve as an alert for possible aneurysms and thus allow
for intervention prior to disruption.