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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Main Authors: Padmaja Durga, Nirmala Jonnavithula, Manas Kumar Panigrahi, Srinivas Mantha
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Anaesthesia
Subjects:
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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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
work_keys_str_mv AT padmajadurga unilateralneurogenicpulmonaryoedemaanunusualcauseforpostoperativerespiratorydysfunctionfollowingclippingofrupturedintracranialaneurysm
AT nirmalajonnavithula unilateralneurogenicpulmonaryoedemaanunusualcauseforpostoperativerespiratorydysfunctionfollowingclippingofrupturedintracranialaneurysm
AT manaskumarpanigrahi unilateralneurogenicpulmonaryoedemaanunusualcauseforpostoperativerespiratorydysfunctionfollowingclippingofrupturedintracranialaneurysm
AT srinivasmantha unilateralneurogenicpulmonaryoedemaanunusualcauseforpostoperativerespiratorydysfunctionfollowingclippingofrupturedintracranialaneurysm