Takotsubo cardiomyopathy - An unexpected complication in spine surgery.

•An impressive case of Takotsubo developed during neurosurgery in a 53 year-old female Takotsubo mimicked the clinical signs of an acute myocardial infarction The patient recovered completely within one week under symptomatic therapy Takotsubo may be triggered by pain, anxiety or high catecholamine levels Interventions in neurosurgery should be kept as stress free as possible.