Neurogenic Pulmonary Edema (A Case Report)
Neurogenic pulmonary edema is a life threatening complication of severe central nervous system injury. The most common cause of neurogenic pulmonary edema is subarachnoid hemorrhage followed by head trauma and epilepsy. The rare causes are cervical spine trauma, multiplesclerosis, cerebellar hemorrh...
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Format: | Article |
Language: | English |
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Galenos Yayinevi
2012-08-01
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Series: | Türk Yoğun Bakim Derneği Dergisi |
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Online Access: | http://www.yogunbakimderg.com/article_2646/Neurogenic-Pulmonary-Edema-a-Case-Report |
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author | Funda Gümüş Salih Mehmet Sevdi Kerem Erkalp Güneş Özlem Ülger Gökhan Bostan Ayşin Alagöl |
author_facet | Funda Gümüş Salih Mehmet Sevdi Kerem Erkalp Güneş Özlem Ülger Gökhan Bostan Ayşin Alagöl |
author_sort | Funda Gümüş |
collection | DOAJ |
description | Neurogenic pulmonary edema is a life threatening complication of severe central nervous system injury. The most common cause of neurogenic pulmonary edema is subarachnoid hemorrhage followed by head trauma and epilepsy. The rare causes are cervical spine trauma, multiplesclerosis, cerebellar hemorrhage and intracranial tumors. Neurogenic pulmonary edema is characterized by an increase in extravascular lung water in patients who have sustained a sudden change in neurologic condition. The exact pathophysiology is unclear but it probably involves an adrenergic response to the central nervous system injury which leads to increased catecholamine, pulmonary hydrostatic pressure and increased lung capillary permeability. The presenting symptoms are nonspecific and often include dyspnea, tachypnea, tachycardia, hypoxemia, pinkfroty secretion, bilateral pulmonary infiltrates and crackles. These symptoms start within minutes or hours and resolves 48-72 hours that typically for neurogenic pulmonary edema. Basic principles of treatment, surgical decompression, reduce intracranial pressure, controlled ventilation with suplemental oxygen, positive end expiratory pressure and diuresis. We report a case with neurogenic pulmonary edema that occured after head trauma. (Journal of the Turkish Society Intensive Care 2012; 10: 59-62) |
first_indexed | 2024-04-10T12:16:32Z |
format | Article |
id | doaj.art-320f6917ea1d43bcbf0f2da054d61fb6 |
institution | Directory Open Access Journal |
issn | 2146-6416 2147-267X |
language | English |
last_indexed | 2024-04-10T12:16:32Z |
publishDate | 2012-08-01 |
publisher | Galenos Yayinevi |
record_format | Article |
series | Türk Yoğun Bakim Derneği Dergisi |
spelling | doaj.art-320f6917ea1d43bcbf0f2da054d61fb62023-02-15T16:15:41ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2012-08-01102596210.4274/Tybdd.10.10Neurogenic Pulmonary Edema (A Case Report)Funda Gümüş0Salih Mehmet Sevdi1Kerem Erkalp2Güneş Özlem Ülger3Gökhan Bostan4Ayşin Alagöl5Sağlık Bakanlığı Bağcılar Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, TürkiyeSağlık Bakanlığı Bağcılar Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, TürkiyeSağlık Bakanlığı Bağcılar Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, TürkiyeSağlık Bakanlığı Bağcılar Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, TürkiyeSağlık Bakanlığı Bağcılar Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, TürkiyeSağlık Bakanlığı Bağcılar Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, TürkiyeNeurogenic pulmonary edema is a life threatening complication of severe central nervous system injury. The most common cause of neurogenic pulmonary edema is subarachnoid hemorrhage followed by head trauma and epilepsy. The rare causes are cervical spine trauma, multiplesclerosis, cerebellar hemorrhage and intracranial tumors. Neurogenic pulmonary edema is characterized by an increase in extravascular lung water in patients who have sustained a sudden change in neurologic condition. The exact pathophysiology is unclear but it probably involves an adrenergic response to the central nervous system injury which leads to increased catecholamine, pulmonary hydrostatic pressure and increased lung capillary permeability. The presenting symptoms are nonspecific and often include dyspnea, tachypnea, tachycardia, hypoxemia, pinkfroty secretion, bilateral pulmonary infiltrates and crackles. These symptoms start within minutes or hours and resolves 48-72 hours that typically for neurogenic pulmonary edema. Basic principles of treatment, surgical decompression, reduce intracranial pressure, controlled ventilation with suplemental oxygen, positive end expiratory pressure and diuresis. We report a case with neurogenic pulmonary edema that occured after head trauma. (Journal of the Turkish Society Intensive Care 2012; 10: 59-62)http://www.yogunbakimderg.com/article_2646/Neurogenic-Pulmonary-Edema-a-Case-ReportNeurogenic lung edemahead traumaPEEPcraniectomy |
spellingShingle | Funda Gümüş Salih Mehmet Sevdi Kerem Erkalp Güneş Özlem Ülger Gökhan Bostan Ayşin Alagöl Neurogenic Pulmonary Edema (A Case Report) Türk Yoğun Bakim Derneği Dergisi Neurogenic lung edema head trauma PEEP craniectomy |
title | Neurogenic Pulmonary Edema (A Case Report) |
title_full | Neurogenic Pulmonary Edema (A Case Report) |
title_fullStr | Neurogenic Pulmonary Edema (A Case Report) |
title_full_unstemmed | Neurogenic Pulmonary Edema (A Case Report) |
title_short | Neurogenic Pulmonary Edema (A Case Report) |
title_sort | neurogenic pulmonary edema a case report |
topic | Neurogenic lung edema head trauma PEEP craniectomy |
url | http://www.yogunbakimderg.com/article_2646/Neurogenic-Pulmonary-Edema-a-Case-Report |
work_keys_str_mv | AT fundagumus neurogenicpulmonaryedemaacasereport AT salihmehmetsevdi neurogenicpulmonaryedemaacasereport AT keremerkalp neurogenicpulmonaryedemaacasereport AT gunesozlemulger neurogenicpulmonaryedemaacasereport AT gokhanbostan neurogenicpulmonaryedemaacasereport AT aysinalagol neurogenicpulmonaryedemaacasereport |