13 April 2026
: Case report 
Takotsubo Syndrome Following Emergency Decompression for Acute Cervical Spinal Epidural Hematoma: A Case Report
Rare coexistence of disease or pathology
Kazushi Takayama
ABCDEF 1*, Yuko Ono E 1, Isamu Yamada E 1, Joji Kotani E 1
DOI: 10.12659/AJCR.951165
Am J Case Rep 2026; 27:e951165
Table 1 Key events from symptom onset to postoperative recovery, including emergency right-sided C2–C5 hemilaminectomy with hematoma evacuation, postoperative electrocardiogram (ECG) T-wave inversions with elevated troponin, coronary angiography (CAG) without flow-limiting lesions, inpatient hemodynamic stability with progressive improvement in left ventricular wall motion on serial transthoracic echocardiography (TTE), and rehabilitation with persistent left-hand paresthesia and preserved strength.
| Day 0 – 3:30 PM | Mild neck pain during rotation at home |
| Day 0 – 6:00 PM | Emergency transport due to spastic quadriplegia |
| Day 0 – 10:00 PM | Emergency right-sided hemilaminectomy (C2–C5) and hematoma evacuation |
| POD 1 | ECG: T-wave inversions (V3–V6); troponin I: 1826 pg/mL;TTE: apical hypokinesis with basal hyperkinesis; CAG: no flow-limiting lesions |
| POD 2 | Troponin I declined to 1134 pg/mL |
| Hospital course | Hemodynamically stable; ECG: persistent T-wave inversions, with progressive improvement of left ventricular wall motion on serial TTE |
| POD 16 | Transfer to rehabilitation facility |
| POD 42 | Discharged from rehabilitation facility |
| Approximately 2 months after surgery | Outpatient follow-up: left-hand paresthesia persisted; muscle strength preserved; gradual improvement in fine motor function |
| ECG – electrocardiogram; TTE – transthoracic echocardiography; CAG – coronary angiography. | |