Neurogenic shock to the heart: a rare case of meningitis-triggered reverse takotsubo cardiomyopathy.

Reverse takotsubo cardiomyopathy, a rare variant of stress-induced cardiomyopathy, is characterized by basal hypokinesis with apical sparing and can be associated with neurological insults. Prompt recognition is essential to avoid unnecessary invasive interventions and to guide appropriate supportive care. Here, we report a case of reverse takotsubo cardiomyopathy triggered by bacterial meningitis in a patient with a history of stroke and seizure disorder who presented with altered mental status, elevated cardiac biomarkers, and evolving electrocardiographic changes.