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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Main Authors: Funda Gümüş, Salih Mehmet Sevdi, Kerem Erkalp, Güneş Özlem Ülger, Gökhan Bostan, Ayşin Alagöl
Format: Article
Language:English
Published: Galenos Yayinevi 2012-08-01
Series:Türk Yoğun Bakim Derneği Dergisi
Subjects:
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)
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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