Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm
A variety of central nervous system lesions like stroke, subarachnoid haemorrhage, trauma and seizure activity can result in neurogenic pulmonary oedema (NPE). Unilateral neurogenic pulmonary oedema is very rare. There are no reports of unilateral NPE with aneurysmal vasospasm. We present the case o...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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Series: | Indian Journal of Anaesthesia |
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Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=1;spage=58;epage=61;aulast=Durga |
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author | Padmaja Durga Nirmala Jonnavithula Manas Kumar Panigrahi Srinivas Mantha |
author_facet | Padmaja Durga Nirmala Jonnavithula Manas Kumar Panigrahi Srinivas Mantha |
author_sort | Padmaja Durga |
collection | DOAJ |
description | A variety of central nervous system lesions like stroke, subarachnoid haemorrhage, trauma and seizure activity can result in neurogenic pulmonary oedema (NPE). Unilateral neurogenic pulmonary oedema is very rare. There are no reports of unilateral NPE with aneurysmal vasospasm. We present the case of a 55-year-old female who developed respiratory distress with unilateral pulmonary oedema and mild left ventricular dysfunction in the context of postoperative cerebral vasospasm following clipping of ruptured intracranial aneurysm. Neurogenic pulmonary oedema should always be in the differential diagnosis when patients with presumed neurogenic pathology develop respiratory compromise. The diagnosis of unilateral neurogenic pulmonary oedema requires a high index of suspicion. Early initiation of supportive treatment results in good outcome. |
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issn | 0019-5049 |
language | English |
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publishDate | 2012-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Indian Journal of Anaesthesia |
spelling | doaj.art-5cd0071925ff4863af3f4e9a30b0c8a12022-12-22T01:14:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492012-01-01561586110.4103/0019-5049.93346Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysmPadmaja DurgaNirmala JonnavithulaManas Kumar PanigrahiSrinivas ManthaA variety of central nervous system lesions like stroke, subarachnoid haemorrhage, trauma and seizure activity can result in neurogenic pulmonary oedema (NPE). Unilateral neurogenic pulmonary oedema is very rare. There are no reports of unilateral NPE with aneurysmal vasospasm. We present the case of a 55-year-old female who developed respiratory distress with unilateral pulmonary oedema and mild left ventricular dysfunction in the context of postoperative cerebral vasospasm following clipping of ruptured intracranial aneurysm. Neurogenic pulmonary oedema should always be in the differential diagnosis when patients with presumed neurogenic pathology develop respiratory compromise. The diagnosis of unilateral neurogenic pulmonary oedema requires a high index of suspicion. Early initiation of supportive treatment results in good outcome.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=1;spage=58;epage=61;aulast=DurgaCerebral vasospasmintracranial aneurysmpost-operativeneurogenic pulmonary oedemaunilateral |
spellingShingle | Padmaja Durga Nirmala Jonnavithula Manas Kumar Panigrahi Srinivas Mantha Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm Indian Journal of Anaesthesia Cerebral vasospasm intracranial aneurysm post-operative neurogenic pulmonary oedema unilateral |
title | Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm |
title_full | Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm |
title_fullStr | Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm |
title_full_unstemmed | Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm |
title_short | Unilateral neurogenic pulmonary oedema: An unusual cause for post-operative respiratory dysfunction following clipping of ruptured intracranial aneurysm |
title_sort | unilateral neurogenic pulmonary oedema an unusual cause for post operative respiratory dysfunction following clipping of ruptured intracranial aneurysm |
topic | Cerebral vasospasm intracranial aneurysm post-operative neurogenic pulmonary oedema unilateral |
url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2012;volume=56;issue=1;spage=58;epage=61;aulast=Durga |
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