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The follow-up brain CT scan showed evidence of posterior reversible encephalopathy syndrome and cardiac catheterisation diagnosed as Takotsubo syndrome. The patient remained sedated under aminergic support and was admitted to a cardiac intensive care unit. After clinic stabilisation, the patient underwent two more surgical procedures with special attention paid to monitoring haemodynamic stability, blood loss and cardiac output. After 70 days of admission, the patient was discharged with moderate visual impairment and follow-up consultations in neurosurgery and cardiology.<\/jats:p>","DOI":"10.1136\/bcr-2021-246690","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T10:25:19Z","timestamp":1643797519000},"page":"e246690","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Anaesthetic management of large meningioma excision complicated by Takotsubo and posterior reversible encephalopathy"],"prefix":"10.1136","volume":"15","author":[{"given":"S\u00e9rgio","family":"Santos","sequence":"first","affiliation":[{"name":"Anesthesiology, Coimbra EPE Hospital and University Center, Coimbra, Portugal, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mafalda","family":"Castro","sequence":"additional","affiliation":[{"name":"Anesthesiology, Coimbra EPE Hospital and University Center, Coimbra, Portugal, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Raimundo","sequence":"additional","affiliation":[{"name":"Anesthesiology, Coimbra EPE Hospital and University Center, Coimbra, Portugal, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Anesthesiology, Coimbra EPE Hospital and University Center, Coimbra, Portugal, Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"key":"2025082710472656000_15.2.e246690.1","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1016\/j.repc.2012.02.014","article-title":"Miocardiopatia takotsubo: estado dA arte","volume":"31","author":"N\u00f3brega","year":"2012","journal-title":"Revista Portuguesa de Cardiologia"},{"key":"2025082710472656000_15.2.e246690.2","first-page":"451","article-title":"Takotsubo Cardiomyopathy: The \u2018\u2018Broken Heart\u2019\u2019 Syndrome","volume":"51","author":"Koulouris","year":"2010","journal-title":"Hellenic J Cardiol"},{"key":"2025082710472656000_15.2.e246690.3","unstructured":"Surineni K , Afzal M , Barua R , et al . 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