{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T20:37:17Z","timestamp":1779309437721,"version":"3.51.4"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T00:00:00Z","timestamp":1558310400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T00:00:00Z","timestamp":1558310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2019,12]]},"DOI":"10.1186\/s13256-019-2085-9","type":"journal-article","created":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T00:02:31Z","timestamp":1558310551000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Reversible stress cardiomyopathy in Guillain-Barr\u00e9 syndrome: a case report"],"prefix":"10.1186","volume":"13","author":[{"given":"A.","family":"Gravos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Destounis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Katsifa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Tselioti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Sakellaridis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Grammatikopoulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Tsapas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Nodarou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Batiani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Prekates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2019,5,20]]},"reference":[{"key":"2085_CR1","doi-asserted-by":"publisher","first-page":"1130","DOI":"10.1056\/NEJM199204233261706","volume":"326","author":"AH Ropper","year":"1992","unstructured":"Ropper AH. The Guillain-Barr\u00e9 syndrome. N Engl J Med. 1992;326:1130\u20136.","journal-title":"N Engl J Med"},{"issue":"2","key":"2085_CR2","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1002\/mus.25551","volume":"56","author":"C Anandan","year":"2017","unstructured":"Anandan C, Khuder SA, Koffman BM. Prevalence of autonomic dysfunction in hospitalized patients with Guillain-Barr\u00e9 syndrome. Muscle Nerve. 2017;56(2):331\u20133.","journal-title":"Muscle Nerve"},{"issue":"Suppl 2","key":"2085_CR3","first-page":"II96","volume":"254","author":"P Flachenecker","year":"2007","unstructured":"Flachenecker P. Autonomic dysfunction in Guillain-Barr\u00e9 syndrome and multiple sclerosis. J Neurol. 2007;254(Suppl 2):II96\u2013II101.","journal-title":"J Neurol"},{"key":"2085_CR4","doi-asserted-by":"publisher","first-page":"1452","DOI":"10.1016\/j.amjcard.2009.06.069","volume":"104","author":"S Mukerji","year":"2009","unstructured":"Mukerji S, Aloka F, Farooq MU, et al. Cardiovascular complications of the Guillain-Barr\u00e9 syndrome. Am J Cardiol. 2009;104:1452\u20135.","journal-title":"Am J Cardiol"},{"key":"2085_CR5","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1212\/WNL.54.3.759","volume":"54","author":"R Bernstein","year":"2000","unstructured":"Bernstein R, Mayer SA, Magnano A. Neurogenic stunned myocardium in Guillain-Barr\u00e9 syndrome. Neurology. 2000;54:759\u201362.","journal-title":"Neurology"},{"key":"2085_CR6","first-page":"57","volume":"33","author":"JS Finkelstein","year":"2006","unstructured":"Finkelstein JS, Melek BH. Guillain-Barr\u00e9 syndrome as a cause of reversible cardiomyopathy. Tex Heart Inst J. 2006;33:57\u20139.","journal-title":"Tex Heart Inst J"},{"key":"2085_CR7","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1136\/jnnp.74.5.689","volume":"74","author":"M Oomura","year":"2003","unstructured":"Oomura M, Yamawaki T, Oe H, et al. Association of cardiomyopathy caused by autonomic nervous system impairment with the Miller Fisher syndrome. J Neurol Neurosurg Psychiatry. 2003;74:689\u201390.","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2085_CR8","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1007\/s10072-006-0531-0","volume":"26","author":"A Palazzuoli","year":"2006","unstructured":"Palazzuoli A, Lenci C, Iovine F, et al. A case of acute heart failure associated with Guillain-Barr\u00e9 syndrome. Neurol Sci. 2006;26:447\u201350.","journal-title":"Neurol Sci"},{"issue":"4","key":"2085_CR9","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1253\/jcj.59.236","volume":"59","author":"K Iga","year":"1995","unstructured":"Iga K, Himura Y, Izumi C, et al. Reversible left ventricular dysfunction associated with Guillain\u2013Barr\u00e9 syndrome\u2014an expression of catecholamine cardiotoxicity? Jpn Circ J. 1995;59(4):236\u201340.","journal-title":"Jpn Circ J"},{"key":"2085_CR10","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1111\/j.1529-8027.2010.00265.x","volume":"15","author":"RT Rousseff","year":"2010","unstructured":"Rousseff RT, Al-Khashan S, Khuraibet AJ. Transient cardiomyopathy as the presenting feature of Guillain-Barr\u00e9 syndrome. J Peripher Nerv Syst. 2010;15:153\u20135.","journal-title":"J Peripher Nerv Syst"},{"issue":"3","key":"2085_CR11","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1080\/08998280.2017.11929626","volume":"30","author":"D Gill","year":"2017","unstructured":"Gill D, Ruiz VG, Dean R, et al. Takotsubo cardiomyopathy with Guillain-Barr\u00e9 syndrome. Proc (Bayl Univ Med Cent). 2017;30(3):307\u20138.","journal-title":"Proc (Bayl Univ Med Cent)"},{"key":"2085_CR12","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1016\/j.jns.2010.01.005","volume":"291","author":"R Martins","year":"2010","unstructured":"Martins R, Barbarot N, Coquerel N, et al. Takotsubo cardiomyopathy associated with Guillain-Barr\u00e9 syndrome: a differential diagnosis from dysautonomia not to be missed. J Neurol Sci. 2010;291:100\u20132.","journal-title":"J Neurol Sci"},{"issue":"Pt 10","key":"2085_CR13","doi-asserted-by":"publisher","first-page":"1885","DOI":"10.1093\/brain\/120.10.1885","volume":"120","author":"P Flachenecker","year":"1997","unstructured":"Flachenecker P, Hartung HP, Reiners K. Power spectrum analysis of heart rate variability in Guillain\u2013Barr\u00e9 syndrome: a longitudinal study. Brain. 1997;120(Pt 10):1885\u201394.","journal-title":"Brain"},{"key":"2085_CR14","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1093\/eurheartj\/ehm342","volume":"29","author":"P Elliott","year":"2008","unstructured":"Elliott P, Andersson B, Arbustini E, et al. Classification of the cardiomyopathies: a position statement from the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2008;29:270\u20136.","journal-title":"Eur Heart J"},{"key":"2085_CR15","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/j.ijcard.2014.12.116","volume":"182","author":"T Yoshikawa","year":"2015","unstructured":"Yoshikawa T. Takotsubo cardiomyopathy, a new concept of cardiomyopathy: clinical features and pathophysiology. Int J Cardiol. 2015;182:297\u2013303.","journal-title":"Int J Cardiol"},{"key":"2085_CR16","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1016\/j.ijcard.2014.04.241","volume":"174","author":"JE Madias","year":"2014","unstructured":"Madias JE. Why the current diagnostic criteria of takotsubo syndrome are outmoded: a proposal for new criteria. Int J Cardiol. 2014;174:468\u201370.","journal-title":"Int J Cardiol"},{"key":"2085_CR17","first-page":"7","volume":"21","author":"H Patel","year":"2015","unstructured":"Patel H, Madanieh R, Kosmas CE, et al. Reversible cardiomyopathies. Clin Med Insights Cardiol. 2015;21:7\u201314.","journal-title":"Clin Med Insights Cardiol"},{"issue":"1","key":"2085_CR18","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1038\/ncpcardio1066","volume":"5","author":"AR Lyon","year":"2008","unstructured":"Lyon AR, Rees PS, Prasad S, et al. Stress (takotsubo) cardiomyopathy\u2014a novel pathophysiological hypothesis to explain catecholamine induced acute myocardial stunning. Nat Clin Pract Cardiovasc Med. 2008;5(1):22\u20139.","journal-title":"Nat Clin Pract Cardiovasc Med"},{"issue":"2","key":"2085_CR19","doi-asserted-by":"publisher","first-page":"e40","DOI":"10.1016\/j.ijcard.2010.10.077","volume":"152","author":"K Ibrahim","year":"2011","unstructured":"Ibrahim K, Jellinghaus S, Christoph M, et al. Intracranial hemorrhage causes a transmural myocardial infarction without the presence of coronary atherosclerosis. Int J Cardiol. 2011;152(2):e40\u20131.","journal-title":"Int J Cardiol"},{"key":"2085_CR20","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1136\/jnnp.2007.133975","volume":"79","author":"T Seifert","year":"2008","unstructured":"Seifert T, Klein E, Legat-Wallner S, et al. Bilateral vertebral artery dissection and infratentorial stroke complicated by stress-induced cardiomyopathy. J Neurol Neurosurg Psychiatry. 2008;79:480\u20131.","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2085_CR21","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1016\/S0167-5273(96)02879-3","volume":"58","author":"TD Wang","year":"1997","unstructured":"Wang TD, Wu CC, Lee YT. Myocardial stunning after cerebral infarction. Int J Cardiol. 1997;58:308\u201311.","journal-title":"Int J Cardiol"},{"key":"2085_CR22","first-page":"67","volume":"12","author":"G Tamsin","year":"2012","unstructured":"Tamsin G, Smith M. Cardiovascular complications of brain injury. BJA Educ. 2012;12:67\u201371.","journal-title":"BJA Educ"},{"key":"2085_CR23","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1111\/j.1751-7133.2011.00210.x","volume":"17","author":"M Guglin","year":"2011","unstructured":"Guglin M, Novotorova I. Neurogenic stunned myocardium and takotsubo cardiomyopathy are the same syndrome: a pooled analysis. Congest Heart Fail. 2011;17:127\u201332.","journal-title":"Congest Heart Fail"},{"key":"2085_CR24","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.ijcard.2014.08.101","volume":"177","author":"J Finsterer","year":"2014","unstructured":"Finsterer J, Wahbi K. CNS disease triggering takotsubo stress cardiomyopathy. Int J Cardiol. 2014;177:322\u20139.","journal-title":"Int J Cardiol"},{"key":"2085_CR25","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.hfc.2012.12.012","volume":"9","author":"S Szardien","year":"2013","unstructured":"Szardien S, M\u00f6llmann H, Willmer M, et al. Mechanisms of stress (takotsubo) cardiomyopathy. Heart Fail Clin. 2013;9:197\u2013205.","journal-title":"Heart Fail Clin"},{"key":"2085_CR26","first-page":"CD003709","volume":"5","author":"C Havel","year":"2011","unstructured":"Havel C, Arrich J, Losert H, et al. Vasopressors for hypotensive shock. Cochrane Database Syst Rev. 2011;5:CD003709.","journal-title":"Cochrane Database Syst Rev"},{"key":"2085_CR27","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.ijcard.2012.10.083","volume":"165","author":"S Quick","year":"2013","unstructured":"Quick S, Quick C, Schneider R, et al. Guillain-Barr\u03b9 syndrome and catecholamine therapy: a potential risk for developing takotsubo cardiomyopathy? Int J Cardiol. 2013;165:43\u20134.","journal-title":"Int J Cardiol"},{"key":"2085_CR28","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.ijcard.2016.02.012","volume":"209","author":"R Ono","year":"2016","unstructured":"Ono R, Falc\u00e3o LM. Takotsubo cardiomyopathy systematic review: pathophysiologic process, clinical presentation and diagnostic approach to Takotsubo cardiomyopathy. Int J Cardiol. 2016;209:196\u2013205.","journal-title":"Int J Cardiol"},{"key":"2085_CR29","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1007\/s12028-010-9358-x","volume":"13","author":"C Lazaridis","year":"2010","unstructured":"Lazaridis C, Pradilla G, Nyquist PA, et al. Intra-aortic balloon pump counterpulsation in the setting of subarachnoid hemorrhage, cerebral vasospasm, and neurogenic stress cardiomyopathy: case report and review of the literature. Neurocrit Care. 2010;13:101\u20138.","journal-title":"Neurocrit Care"},{"key":"2085_CR30","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1227\/01.NEU.0000144780.97392.D7","volume":"56","author":"A Naidech","year":"2005","unstructured":"Naidech A, Du Y, Kreiter KT, et al. Dobutamine versus milrinone after subarachnoid hemorrhage. Neurosurgery. 2005;56:21\u20136l.","journal-title":"Neurosurgery"},{"key":"2085_CR31","doi-asserted-by":"publisher","first-page":"E108","DOI":"10.1097\/TA.0b013e31817c4284","volume":"68","author":"S Busani","year":"2010","unstructured":"Busani S, Rinaldi L, Severino C, et al. Levosimendan in cardiac failure after subarachnoid hemorrhage. J Trauma. 2010;68:E108\u201310.","journal-title":"J Trauma"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-019-2085-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-019-2085-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-019-2085-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T23:11:08Z","timestamp":1589843468000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-019-2085-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,20]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["2085"],"URL":"https:\/\/doi.org\/10.1186\/s13256-019-2085-9","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,20]]},"assertion":[{"value":"1 February 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 May 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The Ethics Committee of Tzaneio General Hospital of Piraeus approved and consented this study. Written informed consent was obtained from the patient to participate. We also obtained consent to publish from the participant to report individual patient data.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Publisher\u2019s Note"}}],"article-number":"150"}}