{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:31:18Z","timestamp":1786728678415,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Takotsubo cardiomyopathy (TCM), also known as stress cardiomyopathy, affects 0.02% of hospitalized patients and is primarily triggered by emotional stressors, although unusual medical situations have also been documented. We report the case of a 36-year-old female patient who presented with symptoms of infection (oropharyngeal pain and diarrhea) 10 days before admission. Upon arrival at the emergency department, she exhibited progressive weakness, lower cranial nerve involvement, and areflexia, necessitating invasive mechanical ventilation support. Diagnostic evaluation revealed sinus tachycardia and atrial fibrillation, leading to a diagnosis of Guillain\u2013Barr\u00e9 syndrome (GBS) with associated cardiovascular dysautonomia. Echocardiography demonstrated apical hypokinesia of the left ventricle, consistent with TCM. Furthermore, her thyroid profile indicated hyperthyroidism, fulfilling the criteria for a thyroid storm. Treatment comprised intravenous human immunoglobulin, methimazole, and propranolol. We present the first documented case of TCM attributed to dysautonomia resulting from GBS and thyroid storm.<\/jats:p>","DOI":"10.4103\/ant.ant-d-24-00044","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T13:00:17Z","timestamp":1769691617000},"page":"36-39","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Takotsubo Cardiomyopathy due to Guillain\u2013Barr\u00e9 Syndrome and Thyroid Storm: A Case Report"],"prefix":"10.4103","volume":"35","author":[{"given":"L\u00f3pez-Hern\u00e1ndez Juan","family":"Carlos","sequence":"first","affiliation":[{"name":"Department of Emergency, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Suarez, Mexico City, Mexico"},{"name":"Clinic of Neuromuscular Diseases, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Su\u00e1rez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rquez-Vargas Mitzi","family":"Gabriela","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Suarez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Medina-Rioja","family":"Raul","sequence":"additional","affiliation":[{"name":"Department of Emergency, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Suarez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Portocarrero-Ortiz Lesly","family":"Aminta","sequence":"additional","affiliation":[{"name":"Department of Neuroendocrinology, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Suarez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Villegas Ch\u00e1vez Carlos","family":"Antonio","sequence":"additional","affiliation":[{"name":"Department of Clinical Cardiology\/Echocardiography, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Suarez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mart\u00ednez-Angeles","family":"Victoria","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Suarez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vargas-Ca\u00f1as Edwin","family":"Steven","sequence":"additional","affiliation":[{"name":"Clinic of Neuromuscular Diseases, National Institute of Neurology and Neurosurgery Dr. Manuel Velasco Su\u00e1rez, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,29]]},"reference":[{"key":"R1-20260420","first-page":"121","article-title":"Guillain-Barr\u00e9 syndrome in Mexico: An updated review amid the coronavirus disease 2019 ERA","volume":"74","author":"Galnares-Olalde","year":"2022","journal-title":"Rev Invest Clin"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/0885066613498053","article-title":"Thyroid storm: An updated review","volume":"30","author":"Chiha","year":"2015","journal-title":"J Intensive Care Med"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/01.JAA.0000654368.35241.fc","article-title":"Takotsubo cardiomyopathy: Review of broken heart 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