[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-459843-105":59,"doc-detail-459843-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","cardiogenic-cerebral-infarction-after-takotsubo-cardiomyopathy-in-a-patient-with-catatonia-a-case-report","Cardiogenic cerebral infarction after Takotsubo cardiomyopathy in a patient with catatonia - A case report","","Takotsubo cardiomyopathy is typically transient and resolves with full recovery, but rare cases develop life-threatening cardiac complications. This case report describes a 71-year-old woman admitted for catatonia after a suicide attempt who developed electrocardiographic abnormalities, elevated D-dimer, apical hypokinesis with basal hyperkinesis, and an intraventricular thrombus. Anticoagulant therapy was started, yet on day 5 cardiogenic cerebral infarction occurred with right hemiplegia and aphasia from thromboembolism. Cardiac function normalized by day 16, while severe neurological deficits persisted.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/cardiogenic-cerebral-infarction-after-takotsubo-cardiomyopathy-in-a-patient-with-catatonia-a-case-report/459843/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/cardiogenic-cerebral-infarction-after-takotsubo-cardiomyopathy-in-a-patient-with-catatonia-a-case-report/459843.png","ImageObject",300,407,{"name":92,"@type":93},"Cipher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":81},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What underlying heart condition was diagnosed in this catatonia patient?","Question",{"text":112,"@type":113},"The patient was diagnosed with Takotsubo cardiomyopathy complicated by left ventricular thrombus and deep vein thrombosis.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the patient develop the cerebral infarction?",{"text":117,"@type":113},"Despite improvement in catatonia with lorazepam, she developed right hemiplegia and aphasia on day 5 due to cardiogenic cerebral infarction from thromboembolism.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key findings that supported the Takotsubo cardiomyopathy diagnosis?",{"text":121,"@type":113},"Transthoracic echocardiography showed apical hypokinesis and basal hyperkinesis, and cardiovascular CT angiography confirmed normal coronary arteries.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},459843,1790757080,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":81,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":39,"preview_page_count":4},687208528416,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","DOI: 10.1002/pcn5.70285  \nCASE REPO RT  \nCardiogenic cerebral infarction after Takotsubo  \ncardiomyopathy in a patient with catatonia: A case report  \nMasaki Fujiwara MD, PhD1  | Yuto Yamada MD, PhD2  |  \nKazuhiro Osawa MD, PhD3 | Shinji Sakamoto MD, PhD4 | Masafumi Kodama MD, PhD5  \n1Department of Neuropsychiatry, Medical Development Field, Okayama University, Okayama, Japan  \n2Department of Neuropsychiatry, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan  \n3Department of General Internal Medicine 3, Kawasaki Medical School General Medical Center, Okayama, Japan  \n4Department of Neuropsychiatry, Okayama University Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan 5Okayama Psychiatric Medical Center, Okayama, Japan  \nCorrespondence  \nMasaki Fujiwara, MD, PhD, Department of Neuropsychiatry, Medical Development Field, Okayama University, 2‐5‐1 Shikata‐cho, Kita‐ku, Okayama, Japan. [Email:](Email: mfujiwara@okayama-u.ac.jp)[ mfujiwara@okayama-u.ac.jp](Email: mfujiwara@okayama-u.ac.jp)  \nFunding information None  \nAbstract  \nBackground: Takotsubo cardiomyopathy (TTC) is a transient cardiac condition often triggered by an emotional or physical stress. TTC usually has a benign clinical course with full recovery. However, in rare cases, TTC is complicated by cardiogenic shock, left ventricular rupture, or ventricular thrombus. We report a case of a patient with catatonia who developed TTC and subsequently experienced extensive cerebral infarction. Case Presentation: A 71‐year‐old woman with no prior psychiatric history was admitted for catatonia following a suicide attempt. During hospitalization, she exhibited electrocardiography (ECG) abnormalities and elevated D‐dimer levels. Transthoracic echocardiography revealed apical hypokinesis and basal hyperkinesis, consistent with TTC, along with an intraventricular thrombus. Cardiovascular CT angiography confirmed normal coronary arteries. She was diagnosed with TTC complicated by left ventricular thrombus and deep vein thrombosis. Anticoagulant therapy was initiated. Despite improvement in catatonia with lorazepam, she developed right hemiplegia and aphasia on Day 5 due to cardiogenic cerebral infarction from thromboembolism. Thrombolytic therapy was not indicated, and conservative treatment was provided. Although cardiac function normalized by Day 16, she was left with severe neurological deficits. Conclusion: The case highlights the diagnostic challenges of TTC in non‐communicative psychiatric patients and the potential for severe complications. Psychiatrists need to be aware of the development of TTC as a serious physical complication in patients with catatonia.  \nKEYWO R DS  \ncatatonia, cerebral infarction, depression, Takotsubo cardiomyopathy, ventricular thrombus  \nBACKGROUND  \nTakotsubo cardiomyopathy (TTC) was first described in 1991; it is a unique heart syndrome characterized by reversible left ventricular wall motion abnormalities.1 Its main characteristics are sudden chest pain, electrocardiographic changes, mildly elevated cardiac enzymes,  \nand wall motion abnormalities. TTC usually has a benign course with full recovery of left ventricular function. However, in rare cases, it can be complicated by cardiogenic shock, ventricular arrhythmias, left ventricular rupture, or ventricular thrombus. TTC is often preceded by an emotional or physical trigger, and more than half of patients with TTC have neurologic or psychiatric disorders.2 Therefore, TTC  \nThis is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.  \n© 2026 The Author(s) . Psychiatry and Clinical Neurosciences Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Society of Psychiatry and Neurology.  \nPsychiatry Clin. Neur","cbCaihPNTeAvdpkl","https://ap.wps.com/l/cbCaihPNTeAvdpkl","pdf",442855,"English","# Abstract\n## Background\n## Case Presentation\n## Conclusion\n# Background\n# Case Presentation","[{\"question\":\"What underlying heart condition was diagnosed in this catatonia patient?\",\"answer\":\"The patient was diagnosed with Takotsubo cardiomyopathy complicated by left ventricular thrombus and deep vein thrombosis.\"},{\"question\":\"How did the patient develop the cerebral infarction?\",\"answer\":\"Despite improvement in catatonia with lorazepam, she developed right hemiplegia and aphasia on day 5 due to cardiogenic cerebral infarction from thromboembolism.\"},{\"question\":\"What were the key findings that supported the Takotsubo cardiomyopathy diagnosis?\",\"answer\":\"Transthoracic echocardiography showed apical hypokinesis and basal hyperkinesis, and cardiovascular CT angiography confirmed normal coronary arteries.\"}]","Cardiogenic cerebral infarction after Takotsubo cardiomyopathy in a patient with catatonia - A case report | PDF"]