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Neurogenic pulmonary edema accompanyingsubarachnoid hemorrhage: case report (Yaycı, Feyza.)

Bibliographical information (record 265257)

Neurogenic pulmonary edema accompanyingsubarachnoid hemorrhage: case report
Author:	Yaycı, Feyza. Search Author in Amazon Books

Edition:	2013.
Classification:	WL368
URL:	http://library.neu.edu.tr:2048/login?url=http://dx.doi.org/10.12808/bcs.v2i2.29

Detailed notes

- Neurogenic pulmonary edema (NPE) is defined as an acute pulmonary edema occurring after a central neurologic insult. It is associated with head injury and seizures, intracranial hemorrhage and stroke are among the other causes. Pathologies increasing intracranial pressure may cause excessive sympathetic discharge and lead to pulmonary vascular pressure changes and transcapillary fluid leakage. Hereby we present an acute respiratory failure in a 50-year old woman with subarachnoid hemorrhage (SAH) due to aneurysmal rupture of anterior communicating artery. The patient had a history of bronchial asthma and respiratory failure was thought to have occurred by radiocontrast induced airway hyper-responsiveness during cerebral angiography. No response to bronchodilator therapy, pinkish foamy sputum from the trachea, diffusely dense infiltrates on both lungs demonstrated by chest X-ray, normal echocardiography, and negative tracheal culture disproving pneumonia were among the factors leading to the diagnosis of NPE. Consistent with the diagnosis, the patient rapidly improved with mechanical ventilation and subsequent removal of the intracranial hematoma. After evaluation of the clinical course of our case, we recommend that NPE should be considered in the differential diagnosis of acute respiratory failure accompanying SAH.